Publication Date: 2010.
Objective: To determine the prevalence of the use of prenatal corticosteroids in women who delivered prematurely in 3 Latin American counties and to evaluate the maternal characteristics associated with use. Methods: A multicenter, prospective, descriptive study was conducted in 4 hospitals in Ecuador, 5 in Uruguay, and 3 in El Salvador between 2004 and 2008. Women who had delivered between 24 and 34 weeks of pregnancy responded to a questionnaire assessing sociodemographic characteristics, obstetric history, prenatal care, women's attitudes to health services and knowledge of preterm risk factors, prenatal corticosteroid administration, and characteristics of the delivery and neonate. The association between the prenatal corticosteroid use and the study variables was evaluated through a logistic regression analysis based on a hierarchical model. Results: A total of 1062 women who had a preterm birth were included in the study. Prenatal corticosteroid use was 34.8% (95% CI, 29.9%-39.9%) in Ecuador, 54.6% (95% CI, 49.6%-59.6%) in El Salvador, and 71.0% (95% CI, 65.3%-76.2%) in Uruguay. Hospital admission-to-delivery time was associated with the use of prenatal corticosteroids in all 3 countries. Conclusion: The study revealed a varied pattern of use of prenatal corticosteroids across the 3 countries, and a diversity of influencing factors. © 2009 International Federation of Gynecology and Obstetrics.
Author affiliation: Riganti, Alicia Aleman. Universidad de Uruguay; Uruguay
Author affiliation: Cafferata, Maria Luisa. Universidad de Uruguay; Uruguay
Author affiliation: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Author affiliation: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Author affiliation: Segarra, Jose Ortiz. Universidad de Cuenca; Ecuador
Author affiliation: Sandoval, Xochitl. Universidad Evangélica de El Salvador; El Salvador
Author affiliation: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Repository: CONICET Digital (CONICET). Consejo Nacional de Investigaciones Científicas y Técnicas