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Neonatal outcomes after oral administration of antenatal corticosteroid: A case report
Authors:Doua AlSaad  Palli Valapila Abdulrouf  Hussain Parappil  Asma Tarannum  Binny Thomas
Affiliation:aDepartment of Pharmacy, Women’s Hospital, Hamad Medical Corporation, Qatar;bDepartment of NICU, Women’s Hospital, Hamad Medical Corporation, Qatar;cDepartment of Pediatrics, Weill Cornell Medical College, Qatar;dDepartment of Obstetrics and Gynecology, Women’s Hospital, Hamad Medical Corporation, Qatar
Abstract:The use of antenatal corticosteroids is associated with reduction in morbidity and mortality rates in preterm delivery. A 34 year-old pregnant woman, gravida 2 para1, was planned for elective cesarean section at 36 weeks of gestation as ultrasound study showed intrauterine growth retardation. She has idiopathic thrombocytopenia and anemia, with suspected hypoplastic anemia. Due to mother’s low platelet count, antenatal intramuscular corticosteroids injection was avoided. Instead, oral dexamethasone was given for fetal lung maturity. Baby’s Apgar score at 1-min and 5-min was 9 and 10, respectively. The baby girl did not develop respiratory distress syndrome. She had mild transient tachypnea of newborn that needed only mild respiratory support with nasal cannula in room air.
Keywords:Antenatal corticosteroids   Fetal lung maturity   Oral dexamethasone   Preterm delivery   Pregnancy
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