Translating antenatal magnesium sulphate neuroprotection for infants born <28 weeks' gestation into practice: A geographical cohort study
نویسندگان
چکیده
Background Magnesium sulphate was introduced for fetal neuroprotection in Australia 2010. The aim of this study to determine how often antenatal magnesium is used currently and its association with cerebral palsy children born <28 weeks' gestation. Materials Methods Participants comprised all survivors gestational age the state Victoria 2016-17, earlier, 1991-92, 1997, 2005. Rates palsy, diagnosed at two years 2016-17 cohort, eight earlier cohorts, were compared across eras. Within proportions exposed determined, rates between those without exposure sulphate. Results Overall, present 6% (11/171) 12% (62/499) three eras (odds ratio (OR) 0.48, 95% confidence interval (CI) 0.25–0.94; P = 0.032). Data available 213/215 (99%) whom 147 (69%) received on 171 (80%) data. Cerebral 5/125 (4%) 6/46 (13%) not (OR 0.28, CI 0.08–0.96; 0.043). Conclusions Antenatal being translated into clinical practice infants gestation, but there room improvement. It associated lower survivors.
منابع مشابه
The use of antenatal magnesium sulfate for neuroprotection for infants born prematurely
Cerebral palsy occurs in three to four infants per 1000 live births. Preterm birth prior to 34 weeks' gestation is a major risk factor. Five randomized controlled trials of antenatal magnesium sulfate (MgSO(4)) found a trend of reduced risk of cerebral palsy and mortality in preterm infants. Three meta-analyses using the data from the five randomized controlled trials, which included a total of...
متن کاملAntenatal corticosteroids promote survival of extremely preterm infants born at 22 to 23 weeks of gestation.
OBJECTIVE To evaluate the effectiveness of antenatal corticosteroid (ACS) to improve neonatal outcomes for infants born at <24 weeks of gestation. STUDY DESIGN We performed a retrospective analysis of 11,607 infants born at 22 to 33 weeks of gestation between 2003 and 2007 from the Neonatal Research Network of Japan. We evaluated the gestational age effects of ACS administered to mothers with...
متن کاملSOGC Clinical Practice Guideline. Magnesium sulphate for fetal neuroprotection.
OBJECTIVE To provide guidelines for the use of antenatal magnesium sulphate (MgSO4) for fetal neuroprotection of the preterm infant. OPTIONS Antenatal MgSO4 administration should be considered for fetal neuroprotection when women present at ≤ 31+6 weeks with imminent preterm birth, defined as a high likelihood of birth because of active labour with cervical dilatation ≥ 4 cm, with or without ...
متن کاملImplementation of a clinical practice guideline for antenatal magnesium sulphate for neuroprotection in Australia and New Zealand.
Health professionals at 25 Australian and New Zealand tertiary maternity hospitals were surveyed about local implementation of a clinical practice guideline for antenatal magnesium sulphate for fetal neuroprotection. Seventy-six percent of respondents reported that their hospital is currently following a guideline; 36% confirmed that their hospital is auditing uptake. Estimates of uptake ranged...
متن کاملOutcomes of infants born at 22 and 23 weeks' gestation.
OBJECTIVE To provide instructive information on death and neurodevelopmental outcomes of infants born at 22 and 23 weeks' gestational age. METHODS The study cohort consisted of 1057 infants born at 22 to 25 weeks in the Neonatal Research Network, Japan. Neurodevelopmental impairment (NDI) at 36 to 42 months' chronological age was defined as any of the following: cerebral palsy, hearing impair...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Australian & New Zealand Journal of Obstetrics & Gynaecology
سال: 2021
ISSN: ['0004-8666', '1479-828X']
DOI: https://doi.org/10.1111/ajo.13301