Effect of Antenatal Corticosteroids on Neonatal Outcomes in Term Planned Caesarean Deliveries: A Clinical Trial at Benghazi Medical Center
DOI:
https://doi.org/10.58987/ngmvma27Keywords:
Antenatal Corticosteroids, Elective Caesarean Deliveries, Respiratory Distress SyndromeAbstract
Respiratory distress syndrome is one of primary causes of early newborn morbidity and death, considerably contributing to the substantial costs associated with neonatal intensive care. Antenatal corticosteroids given at or near term can help reduce the risk of respiratory complications in newborns by accelerating lung maturation and promoting the clearance of alveolar fluid. This study is aimed to evaluate the effectiveness of the corticosteroid therapy prior to elective cesarean section at term in mitigating the respiratory morbidity in the neonates. The total participant are 400 pregnant women were admitted for elective C\S meeting with inclusion criteria, in each group 200 case group (IM Dexamethasone given) and 200 control group (not given Dexamethasone). The average age was 34.10 years (± 6.97). The minimum age was 20 years, while the highest age was 48 years. The mean Apgar scores at 1 minute were statistically substantially elevated in the case group relative to the control group. The occurrence of transitory tachypnea was considerably less in the group administered intramuscular dexamethasone compared to the control group. Maternal age, gravida, parity, and gestational age does not appear to have difference among both group. Intramuscular injection of dexamethasone before elective caesarean section at term pregnancy can reduce neonatal transient tachypic attack, and intramuscular injection of dexamethasone before elective caesarean section at term pregnancy has positive effect on neonatal Apgar score at 1 minute.
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