On first antenatal
visit birth plan should be discussed with each and every pregnant women, reviewed on later visits and should be finalized by 32 weeks of gestational period8.
7 The increased risk of respiratory morbidity in the late preterm infants is caused by the immature lung structure, as the lung development of the terminal respiratory sacs and alveoli continues through 34 and 36 gestational weeks, and results in an increased risk of RDS for infants of mothers who did not receive antenatal
steroids, in particular.
This cross-sectional study was conducted in five major tertiary care centres providing antenatal
care in Karachi from February to April 2014, and comprised doctors.
Nevertheless, many women have different reasons why they prefer home delivery, as such the need to explore factors that influence women's delivery at home after attending antenatal
care formed the basis of the study.
There was no statistical significant association found between mean pre-test knowledge score of antenatal
mothers with PIH and their demographic variables.
Our findings challenge current beliefs that very short exposures to antenatal
steroids before delivery have no effect, and suggest that encouraging the administration of antenatal
corticosteroids to pregnant women when delivery is very imminent could result in substantial survival and health gains for very preterm infants" says Jennifer Zeitlin, principal investigator of the EPICE study and researcher at Inserm (French National Institute of Health and Medical Research), Paris, France.
women, after 36 weeks of pregnancy who were referred to our hospital for delivery were included in the study.
The latest point at which antenatal
corticosteroids can be effective has never been established.
A single repeat course of antenatal
corticosteroids should be considered in women who are less than 34 0/7 weeks of gestation who have an imminent risk of preterm delivery within the next 7 days and whose prior course of antenatal
corticosteroids was administered more than 14 days previously.
complications 6(12%) patients had anemia, 2(4%) had pregnancy induced hypertension, 4(8%) had pre-eclampsia, 2(4%) had eclampsia and 36(72%) didn't had complications.
The findings were similar to those from the Antenatal
Steroids for Term Elective Caesarean Section Research Team.
Information on antenatal
care was obtained from case notes recorded on the patient's antenatal
card, from the maternity case record and from patient interviews.