Full-term-pregnancy effects of antenatal betamethasone administration on short-term variation as assessed by computerized cardiotocography

Piazze, Juan and Dillon, Komalli Kathleen and Albania, Cerekja (2012) Full-term-pregnancy effects of antenatal betamethasone administration on short-term variation as assessed by computerized cardiotocography. Journal of prenatal medicine, 6 (2). pp. 18-21. ISSN 1971-3290

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Abstract

Objective: to verify whether there are other than transitory effects of antenatal betamethasone (administered for fetal lung maturity [FLM] enhancement) on fetal heart rate (FHR) variability detected by computerized cardiotocography (cCTG) in cases where formerly steroid-treated fetuses reached term. Materials and methods: cCTG of one hundred sixtyfour women (study group) exposed to antenatal betamethasone for risk of preterm delivery in third trimester period were compared to controls (pregnancies who presented risk of preterm labour in the same period of cases, although with no steroids administration). cCTG was performed weekly as of standard schedule when pregnancies reach term from 37-40 weeks’ gestation for cases and controls. Results: regarding data concerning cCTG at term for cases and controls, no significant difference was found for FHR, Acc (accelerations) 10 min, and FM (fetal movements) between groups. LV (low variation)/ min and LV/msec were absent in cCTG parameters of fetuses in the study group. Instead, for all weeks studied (37 to 40), cCTG parameters were higher for HV (high variation)/msec, STV(short term variation)/msec, and Acc 15 in cases with respect to controls. Conclusion: interestingly, maternal corticosteroid administration may be related to higher fetal reactivity when fetuses exposed to steroid therapy reach term. Our observation may help in the interpretation of a “more reactive” CTG trace in babies whose mothers previously received steroid therapy for FLM enhancement.

Item Type:	Article
Uncontrolled Keywords:	Computerized cardiotocography, betamethasone, intrauterine long-term effects
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 618 Altri rami della medicina; Ginecologia e ostetricia, Pediatria, Geriatria > 618.2 Ostetricia
Depositing User:	Gianni Aiello
Date Deposited:	29 May 2013 10:49
Last Modified:	10 Apr 2014 13:04
URI:	http://eprints.bice.rm.cnr.it/id/eprint/5334

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