پيامد حاملگي در زايمان زودرس 34 تا 37 هفته اي و اثرات دگزامتازون تزريقي بر آن

Pregnancy outcome in premature delivery of between 34-37 weeks and the effects of corticosteroid on it

Background&Objective: Respiratory Distress Syndrome (RDS) is one of the important causes of newborn mortality. The aim of this study is to determine the pregnancy outcome and corticosteroid effects for prevention prophylaxis in pregnant women with premature labour between 34-37 weeks gestational age. Materials&Methods: This semi experimental single blind clinical trial Study was performed on hundred 34-37 weeks pregnant women who were referred with labour pain or rupture of membrane. These women divided in two almost similar case and control groups. The control group received 5mg dexamethasone 6 hours to delivery time (maximum 4 doses). Data was entered to SPSS and analyzed by Chi-Square and T-Test. Results: There wasnʹt any significant difference between administration of dexamethasone and incidence of RDS in 34-37 weeks newborn (p=O.6). The Frequency of RDS was similar in two groups (in all women: 4%) the mean weight of newborns with RDS diagnosis was 2675 ± 263. 76% of women had vaginal delivery. The mean weight of newborn was 2672 gr and mean gestational age was 35.4 weeks). Conclusion: The frequency of RDS in newborn with 34-37 weeks gestational age was 4% and administration of one or more dexamethasone had no effect on reduction it.