Obstetrics, gynecology and reproductive medicine guidelines

Neonatology

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Newborn respiratory tract diseases: postnatal corticosteroids

Canada

• Canadian Paediatric Society
  • Joint statement with the AAP: Postnatal corticosteroids to treat or prevent chronic lung disease in preterm infants [2007]

International

• Cochrane Library
  • Moderately early (7-14 days) postnatal corticosteroids for preventing chronic lung disease in preterm infants [2009]
  • Intravenous dexamethasone for extubation of newborn infants [2009]
  • Inhaled versus systemic corticosteroids for the treatment of chronic lung disease in ventilated very low birth weight preterm infants [2009]
  • Inhaled versus systemic corticosteroids for preventing chronic lung disease in ventilated very low birth weight preterm neonates [2009]
  • Early postnatal (<96 hours) corticosteroids for preventing chronic lung disease in preterm infants [2009]
  • Early administration of inhaled corticosteroids for preventing chronic lung disease in ventilated very low birth weight preterm neonates [2009]
  • Delayed (>3 weeks) postnatal corticosteroids for chronic lung disease in preterm infants [2009]

Malaysia

• Perinatal Society of Malaysia
  • Postnatal Corticosteroids for the Prevention and Treatment of Chronic Lung Disease in Preterm Infants [2002]

United States of America

• American Academy of Pediatrics
  • Postnatal Corticosteroids to Treat or Prevent Chronic Lung Disease in Preterm Infants [2006]

• University of Michigan Evidence-Based Pediatrics
  • Peri-Extubation Steroids May Lower the Rates of Reintubation and Stridor in Neonates and Children [2003]
  • Inhaled Steroids Do Not Prevent Bronchopulmonary Dysplasia in Neonates (But do decrease the use of systemic steroids!) [2000]

Articles in journals

• BMC Pediatrics
  • The adverse neuro-developmental effects of postnatal steroids in the preterm infant: a systematic review of RCTs [2001]

• Indian Pediatrics
  • Postnatal corticosteroids for chronic lung disease (CLD) [2007]

• Pediatrics
  • Impact of Postnatal Systemic Corticosteroids on Mortality and Cerebral Palsy in Preterm Infants: Effect Modification by Risk for Chronic Lung Disease [2005]
  • Implementing Potentially Better Practices to Improve Neonatal Outcomes After Reducing Postnatal Dexamethasone Use in Infants Born Between 501 and 1250 Grams [2003]

{Related topics}

• Guidelines
  • Newborn respiratory tract diseases