Table 4.
Waning effects of a single course of antenatal betamethasone on neonatal morbidly
| Neonatal Morbidity | Unadjusted Odds ratio (or Coefficient) for Time to delivery ≥ 10 days (95% CI) | Adjusted* Odds ratio (or Coefficient) for Time to delivery ≥ 10 days (95% CI) | P value† |
|---|---|---|---|
| Severe IVH‡ (%) | 2.67 (1.26–5.61) | 4.16 (1.59–10.87) | 0.004 |
| Intubated-Mechanical Ventilation at 24h (%) | 1.05 (0.58–1.89) | 3.23(1.59–6.57) | 0.001 |
| Respiratory Severity Score at 24h (mean ± SD)§ | 0.19 (CI −0.22, 0.59) | 0.39 (CI 0.10–0.84) | 0.029 |
| Death (%) | 0.40 (0.09–1.80) | 1.37 (0.58–3.20) | 0.468 |
| BPD** or death (%) | 1.50 (0.64–3.60) | 1.26(0.68–2.4) | 0.460 |
| NEC†† or death (%) | 1.00 (0.39–2.60) | 1.30 (0.65–2.6) | 0.468 |
Note: all infants completed a two dose course of antenatal betamethasone
Adjusted for gestational age at birth, small for gestational age, preeclampsia, multiple birth, gestational diabetes and birth year epoch.
P value for adjusted odds ratio or coefficient
Grade 3 or 4
Respiratory Severity Score (RSS) = mean airway pressure x fraction of inspired oxygen. By convention, mean airway pressure = liter flow rate when infants received nasal cannula flows of ≤3 liter/min; measurements made at 24 hours after birth; linear regression with bootstrapping coefficient and bias corrected confidence interval reported
Bronchopulmonary Dysplasia (BPD), physiologic definition by room air challenge at 36 weeks post menstrual age
Necrotizing enterocolitis, Bell’s classification ≥II (treated medically or surgically) and “spontaneous perforations”