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IMPACT OF ANTENATAL CORTICOSTEROID ON RESPIRATORY MORBIDITY OF NEONATES DELIVERED AFTER THRITY FOUR WEEK OF GESTATION

Dr Maira Zafar, Dr Rabia Noor, Dr Maham Liaqat

Objective: The purpose of this study is to investigate the impact of the antenatal corticosteroid prophylaxis on the respiratory morbidity of the neonates delivered between 34 to 37 gestation weeks. Methodology: This retrograde research work assessed the respiratory complications of the neonates of 683 singleton pregnancies which delivered at 34 to 37 gestation weeks in our institute from January 2016 to September 2018. Group-1 (n: 294) contained the information of the females who did not get betamethasone and Group-2 (n: 396) contained the patients who obtained betamethasone after thirty-four gestation week for the patients having danger of birth before term. NRM (Neonatal Respiratory Morbidity) was the primary outcome. Any disease of respiration which always needs clinical support like supplemental oxygen or others is known as NRM. We compared the data about demographic traits, delivery mode, and weight of fetal at the time of birth, and respiratory complications of the neonates between the participants of both groups. Results: We did not find any statistically significant disparity for the development rate of the respiratory morbidity of neonates in the patients of both groups. The rate of occurrence of the NRM was almost same in both groups (15.30% in control group and 14.90% in the intervention group) Conclusion: We were unable to find any improvement with the administration of betamethasone practically in delayed preterm birth as regards prevention of NRM. KEYWORDS: Neonatal Respiratory Morbidity, Morbidity, Neonates, Intervention, Respiration, Antenatal Corticosteroid Prophylaxis.

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