Corticosteroids' Effect on Fetal Lung Maturation (1972), by Sir Graham Collingwood Liggins and Ross Howie
نویسندگان
چکیده
In a clinical trial from 1969 to 1972, Sir Graham Collingwood Liggins and Ross Howie [4] showed that if doctors treat pregnant women with corticosteroids before those women deliver prematurely, then those womens' infants have fewer cases of respiratory distress syndrome [5] than do similarly premature infants of women not treated with corticosteroids. Prior to the study, premature infants born before 32 weeks of gestation [6] often died of respiratory distress syndrome [5], or the inability to inflate immature lungs. Liggins and Howie, then both at the University of Auckland in Auckland, New Zealand, published their results in ?A Controlled Trial of Antepartum Glucocorticoid Treatment for Prevention of the Respiratory Distress Syndrome in Premature Infants,? in 1972. The study built on Liggins's earlier experiments with sheep [7]. Liggins? corticosteroid experiments changed the way doctors treated pregnant women experiencing preterm labors, and they improved the life expectancies of prematurely born infants.
منابع مشابه
A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature infants.
A controlled trial of betamethasone therapy was carried out in 282 mothers in whom premature delivery threatened or was planned before 37 weeks’ gestation, in the hope of reducing the incidence of neonatal respiratory distress syndrome by accelerating functional maturation of the fetal lung. Two hundred and thirteen mothers were in spontaneous premature labor. When necessary, ethanol or salbuta...
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It is nearly 25 years since Liggins and Howie first reported the maturational benefits of antenatal corticosteroids given to mothers of preterm infants. They reported reduced incidence of respiratory distress syndrome (RDS) in preterm infants delivered to mothers treated with antenatal steroids. Since then, several other studies have reported similar benefits for antenatal corticosteroids. Inde...
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The decision for premature termination of a pregnancy has to be weighed against the potential risk of the respiratory distress syndrome (RDS). This is particularly critical in pregnancies complicated by EPH gestosis, diabetes mellitus, rhincompatibility, placenta praevia, placental insufficiency, and in cases of premature labor. The difficulty of estimating fetal lung maturation seems to have b...
متن کاملAntenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth.
BACKGROUND Respiratory morbidity including respiratory distress syndrome (RDS) is a serious complication of preterm birth and the primary cause of early neonatal mortality and disability. While researching the effects of the steroid dexamethasone on premature parturition in fetal sheep in 1969, Liggins found that there was some inflation of the lungs of lambs born at gestations at which the lun...
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It is nearly 25 years since Liggins and Howie first reported the maturational benefits of antenatal corticosteroids given to mothers of preterm infants. They reported reduced incidence of respiratory distress syndrome (RDS) in preterm infants delivered to mothers treated with antenatal steroids. Since then, several other studies have reported similar benefits for antenatal corticosteroids. Inde...
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