Respiratory Morbidity
Conditions
Brief summary
Patients undergoing elective C-section will be randomized into two groups. The first group will receive one dose of Betamethasone at least 24 hours before scheduled C-section. The second group will receive placebo.
Detailed description
This is a prospective double blinded randomized clinical trial. Patients will be randomized into two groups. Group A will receive one dose of Betamethasone at least 24 hours before scheduled C-section. Group B will receive placebo. The maternal and neonatal outcomes will be studied in order to assess the effect of Betamethasone on respiratory morbidity of the newborn infant.
Interventions
A single injection will be administered to the patient. This injection will be prepared in the hospital's pharmacy to contain normal saline.
A single injection will be administered to the patient at least 24 hours before undergoing C-section. This injection will be prepared in the hospital's pharmacy to contain betamethasone
Sponsors
Study design
Eligibility
Inclusion criteria
* women with singleton or multiple gestation, * between 37 and 40 weeks of pregnancy (as calculated from the first day of the last menstrual period)
Exclusion criteria
* any medical problem that could affect fetal well-being; * evidence of intrauterine infection, * oligohydramnios, * fetal congenital malformations, * preeclampsia, * maternal hypertension, * severe fetal rhesus sensitization, * antepartum hemorrhage, * Intrauterine growth restriction * preterm rupture of membranes * preterm delivery * previously received antenatal steroids less than one month ago * those who decline to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of patients with respiratory morbidity | at birth | Neonatal respiratory morbidity will be assessed through oxygen saturation, Apgar score and Silverman score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Admission to Neonatal Intensive Care Unit (NICU) | up to 2 weeks | Reasons for NICU admission and length of stay |
Countries
Lebanon