Table V.
Outcome | Antenatal Corticosteroids + Magnesium Sulfate (vs. Antenatal Corticosteroids Only) | Antenatal Corticosteroids + Magnesium Sulfate (vs. Magnesium Sulfate Only) | Antenatal Corticosteroids + Magnesium Sulfate (vs. No Antenatal Corticosteroids or Magnesium Sulfate) | |||
---|---|---|---|---|---|---|
Unadjusted OR (CI) | Adjusted OR (CI)* | Unadjusted OR (CI) | Adjusted OR (CI)* | Unadjusted OR (CI) | Adjusted OR (CI)* | |
22–24 Weeks’ Gestation | ||||||
Severe NDI‡ or death† | 0.79 (0.58, 1.08) | 0.81 (0.58, 1.12) | 0.2 (0.08, 0.5) | 0.21 (0.08, 0.58) | 0.48 (0.31, 0.74) | 0.61 (0.39, 0.97) |
Severe NDI†‡ | 0.96 (0.62, 1.48) | 0.98 (0.61, 1.55) | 0.2 (0.07, 0.56) | 0.19 (0.06, 0.60) | 0.88 (0.46, 1.69) | 1.01 (0.51, 2.00) |
25–26 Weeks’ Gestation | ||||||
Severe NDI‡ or death† | 0.66 (0.5, 0.87) | 0.67 (0.49, 0.90) | 0.76 (0.41, 1.43) | 0.70 (0.36, 1.36) | 0.73 (0.5, 1.07) | 0.70 (0.47, 1.06) |
Severe NDI†‡ | 0.74 (0.5, 1.1) | 0.69 (0.46, 1.03) | 1.19 (0.43, 3.29) | 1.00 (0.36, 2.81) | 1.1 (0.6, 2.02) | 0.93 (0.50, 1.73) |
NDI, neurodevelopmental impairment.
All models were simultaneously adjusted for: gestational age (square root transformation), sex, small for gestational age, maternal health insurance status, maternal race, follow-up window, and center (as a random effect). Centers with low frequencies of severe cerebral palsy (n<5) were pooled to counter the effects of small sample sizes. Outcome differences statistically significant if adjusted odds ratios between exposure groups exclude 1.
Significant global test for differences among groups: (1) ANS and MgSO4, (2) ANS only, (3) antenatal MgSO4 only, and (4) no ANS or MgSO4
Severe neurodevelopmental impairment defined as ≥ 1 of the following: severe cerebral palsy, gross motor function level ≥ 4–5, motor and/or cognitive composite score < 70 on Bayley Scales of Infant Development III, bilateral blindness (no useful vision in either eye), or bilateral hearing impairment even with amplification.