Objective: To assess the prevalence of the use of prenatal corticosteroids (PCS) in the management of pretermdeliveryand the factors associated with PCS administration. Methods: A secondary analysis was performed ofa cross-sectional study conducted in 21 Chinese healthcare facilities between November 2010 and January2011. The medical records of women who delivered preterm were reviewed. Associations between PCS administrationand individual and organizational-level factors were determined. Results: The study population comprised659 women who delivered at 20 facilities. PCS were given to 158 (68.1%) of 232 women delivering after27–34 weeks of pregnancy and 119 (27.9%) of 427 delivering after 35–36 weeks. Teenaged girls were less likelyto receive PCS after 27–34 weeks than werewomen aged 20–35 years (odds ratio [OR] 0.22; 95% confidence interval[CI] 0.07–0.70). Amongwomenwho delivered after 35–36 weeks, the odds of receiving PCSwere lower inurban hospitals than in periurban or rural hospitals (OR 0.04; 95% CI 0.00–0.44), and there was significanthospital-level variance with regard to the administration of PCS (P b 0.05). Conclusion: Generally, PCS wereunderprescribed to women at risk of preterm delivery and many women received the treatment after35–36 weeks of pregnancy, when it might not have been effective.
|Number of pages||5|
|Journal||International Journal of Gynecology and Obstetrics|
|Publication status||Published - Dec 2014|
- Multilevel analysis
- Prenatal corticosteroids
- Preterm birth
Wang, X., Vogel, J. P., Kang, C., Gao, Y., Ao, D., Pang, R., & Wang, Y. (2014). Factors associated with the use of prenatal corticosteroids in the management of preterm delivery in Chinese hospitals. International Journal of Gynecology and Obstetrics, 127(3), 260-264. https://doi.org/10.1016/j.ijgo.2014.05.026