Decline in effectiveness of antenatal corticosteroids with time to birth: real or artefact?
- PMID: 17626962
- PMCID: PMC1914486
- DOI: 10.1136/bmj.39225.677708.80
Decline in effectiveness of antenatal corticosteroids with time to birth: real or artefact?
Abstract
The widely accepted notion that the benefits of antenatal corticosteroids decline with time to birth may not be correct, argue Simon Gates and Peter Brocklehurst, as the evidence is based on unsound subgroup analyses
Conflict of interest statement
Figures

Similar articles
-
Antenatal corticosteroids for the late preterm infant and agnotology.J Perinatol. 2017 Dec;37(12):1265-1267. doi: 10.1038/jp.2017.76. J Perinatol. 2017. PMID: 29192694 No abstract available.
-
Antenatal corticosteroids--current thinking.BJOG. 2003 Apr;110 Suppl 20:77-8. doi: 10.1016/s1470-0328(03)00041-7. BJOG. 2003. PMID: 12763117
-
[ANTENATAL APPLICATION OF CORTICOSTEROIDS IN LATE PRETERM BIRTHS].Akush Ginekol (Sofiia). 2016;55(3):24-6. Akush Ginekol (Sofiia). 2016. PMID: 27514140 Review. Russian.
-
Effects of antenatal corticosteroids in twin neonates with late preterm birth (ACTWIN [Antenatal Corticosteroids in TWIN late preterm neonates] trial): study protocol for a randomized controlled trial.BMC Pregnancy Childbirth. 2019 Apr 3;19(1):114. doi: 10.1186/s12884-019-2235-5. BMC Pregnancy Childbirth. 2019. PMID: 30943910 Free PMC article.
-
Controversies in antenatal corticosteroid treatment.Prenat Diagn. 2020 Aug;40(9):1138-1149. doi: 10.1002/pd.5664. Epub 2020 Mar 10. Prenat Diagn. 2020. PMID: 32157719 Review.
Cited by
-
Judicious use of antenatal glucocorticoids: putting the risks into the balance.Facts Views Vis Obgyn. 2011;3(3):215-20. Facts Views Vis Obgyn. 2011. PMID: 24753867 Free PMC article.
-
Antenatal corticosteroid administration for foetal lung maturation.F1000Res. 2020 Mar 30;9:F1000 Faculty Rev-219. doi: 10.12688/f1000research.20550.1. eCollection 2020. F1000Res. 2020. PMID: 32269758 Free PMC article. Review.
-
Timing of Antenatal Corticosteroid Administration and Neonatal Outcomes.JAMA Netw Open. 2025 May 1;8(5):e2511315. doi: 10.1001/jamanetworkopen.2025.11315. JAMA Netw Open. 2025. PMID: 40388165 Free PMC article.
-
Antenatal corticosteroids in the management of preterm birth: are we back where we started?Obstet Gynecol Clin North Am. 2012 Mar;39(1):47-63. doi: 10.1016/j.ogc.2011.12.006. Obstet Gynecol Clin North Am. 2012. PMID: 22370107 Free PMC article. Review.
-
Relevance of the antenatal corticosteroids-to-delivery interval in the prevention of neonatal respiratory distress syndrome through the eyes of causal inference: a review and target trial.Arch Gynecol Obstet. 2022 Apr;305(4):885-892. doi: 10.1007/s00404-021-06213-5. Epub 2021 Aug 30. Arch Gynecol Obstet. 2022. PMID: 34459968 Review.
References
-
- Crowley P. Promoting pulmonary maturity. In: Chalmers I, Enkin M, Keirse MJNC, eds. Effective care in pregnancy and childbirth Oxford: Oxford University Press, 1989:746-64.
-
- Crowley P. The effects of corticosteroid administration before preterm delivery: an overview of the evidence from controlled trials. Br J Obstet Gynaecol 1990;97:11-25. - PubMed
-
- Crowley PA. Antenatal corticosteroid therapy: a meta-analysis of the randomized trials, 1972 to 1994. Am J Obstet Gynecol 1995;173:322-35. - PubMed
-
- Liggins GC, Howie RN. A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature infants. Pediatrics 1972;50:515-25. - PubMed
-
- Howie RN, Liggins GC. Clinical trial of antepartum betamethasone therapy for prevention of respiratory distress in pre-term infants. In: Anderson ABM, Beard RW, Brudenell JM, Dunn PM, eds. Pre-term labour London: RCOG, 1977:281-9.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical