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Leytes S, Haratz KK, Grin L, Shwartz T, Zohav E, Weisz B, Lipitz S, Maymon R, Bardin R, Gilboa Y, Kleiner I, Kashanian A, Lev D, Bar J, Shalev J, Gindes L. Procedure-to-delivery interval after late amniocentesis and the need for routine antenatal corticosteroids. J Matern Fetal Neonatal Med 2020; 35:4338-4345. [PMID: 33225769 DOI: 10.1080/14767058.2020.1849115] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVES The aim of this study is to assess the procedure-to-delivery interval (PDI), the obstetric complications, and the early neonatal outcome in patients that did or did not receive glucocorticosteroids (GCSs) before third-trimester amniocentesis (TTA). METHODS A retrospectively analysis of 445 TTA procedures divided into two groups based on the administration (study group = 220 patients) or not (control group = 225 patients) of GCSs before TTA. The PDI was calculated for all patients. Obstetric and neonatal outcomes were compared between the groups. RESULTS The rate of procedure-associated complications was similar between the groups. The mean PDI was 47.2 ± 16.8 days. The overall incidence of preterm birth was 11.7%; 9% delivered between 34 and 37 weeks and 2.7% between 28 and 34 weeks. Only nine patients (2%) delivered within seven days following TTA. The incidence of respiratory distress syndrome in the study and control groups was 1.8% and 1.3%, p = .71, respectively. There were no significant differences in other neonatal outcomes in term and preterm deliveries between the study and control groups. CONCLUSIONS In the present study, the administration of glucocorticoids prior to TTA did not reduce the rates of neonatal complications, which was similar in both groups and not higher than the general population.
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Affiliation(s)
- Sophia Leytes
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel
| | - Karina Krajden Haratz
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Obstetrics and Gynecology, Division of Ultrasound in ObGyn, Lis Maternity Hospital, Tel Aviv Medical Center, Tel Aviv, Israel
| | - Leonti Grin
- Department of Obstetrics and Gynecology, Faculty of Health Sciences, Barzilai University Medical Center, Ben-Gurion University of the Negev, Beersheba, Israel
| | - Tomer Shwartz
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Efraim Zohav
- Department of Obstetrics and Gynecology, Faculty of Health Sciences, Barzilai University Medical Center, Ben-Gurion University of the Negev, Beersheba, Israel
| | - Boaz Weisz
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Ultrasound in Obstetrics and Gynecology Unit, Chaim Sheba Medical Center, Ramat Gan, Israel
| | - Shlomo Lipitz
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Ultrasound in Obstetrics and Gynecology Unit, Chaim Sheba Medical Center, Ramat Gan, Israel
| | - Ron Maymon
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Obstetrics and Gynecology, Shamir Medical Center (Assaf Harofeh), Be'er Ya'akov, Israel
| | - Ron Bardin
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Helen Schneider Women's Hospital, Rabin Medical Center, Petah Tikva, Israel
| | - Yinon Gilboa
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Helen Schneider Women's Hospital, Rabin Medical Center, Petah Tikva, Israel
| | - Ilia Kleiner
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel
| | - Alon Kashanian
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Dorit Lev
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel
| | - Jacob Bar
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel
| | - Josef Shalev
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel
| | - Liat Gindes
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel
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