Table 1. Characteristics and quality of included studies.
Study | Gest weeks | Design | Steroid type | Primary outcomes | Adjusted variables | Quality of study NOS# | ||
---|---|---|---|---|---|---|---|---|
Selection | Comparability | Outcome | ||||||
Carlo 2011 | 22–25 |
Pros. | Beta or Dexa | Mortality and neurodevelopmental impairment at 18–22 months | Maternal age, hypertension or preeclampsia, rupture of membranes >24 hrs and delivery mode, multiple births, neonatal gender, and centre. | **** | ** | *** |
Hayes 2008 | 23 | Retro. | Beta or Dexa | Neonatal mortality | Maternal age, race, plurality, antibiotic administration at delivery, route of delivery, and neonatal gender and birth weight. | **** | ** | *** |
Manktelow 2009 |
23–32 | Pros. | Beta or Dexa | Neonatal mortality | Not adjusted | **** | * | *** |
Mori 2011 | 22–33 | Retro. | Beta or Dexa | Respiratory distress, Mortality, CLD, IVH and NEC. | Maternal age, parity, multiplicity, GDM, hypertension, PROM, mode of and place of delivery, neonatal gender, birth weight. | **** | * | *** |
Guinsburg 2016 | 23–33+6 | Pros. | Not mentioned | Unfavourable neonatal outcome | Maternal and neonatal morbidity variables | **** | ** | *** |
Bajwa 2011 | 23–32 | Pros. | Not mentioned | Neonatal mortality | Neonatal gender and growth restriction. | **** | ** | *** |
Guthrie¶ 2003 | 23–34 | Retro. | HC or Dexa | NEC | Neonatal birth weight, Apgar score at 5 minutes, caesarean delivery, exposure to indomethacin | **** | ** | *** |
Bader¶ 2010 | 23–26 | Pros. | Not mentioned | Neonatal mortality | Maternal ethnicity, infertility treatment, plurality, hypertensive disorders amnionitis, neonatal birth weight and gender. | **** | ** | *** |
#NOS: New castle Ottawa scale.
*: The number of stars indicate score as per NOS.
¶Data from Park et al.
Pros- Prospective, Retro- Retrospective, Beta- Betamethasone, Dexa- Dexamethasone, HC- Hydrocortisone- Chronic lung disease, NEC- Necrotising enterocolitis, IVH- Intraventricular Haemorrhage, PVL- Periventricular Leukomalacia, GDM- Gestational diabetes mellitus, PROM- Prolonged rupture of membrane.