The Utilization of Antenatal Late Preterm Steroids at a Tertiary Care Academic Medical Center
ACOG ePoster. Nicol C. Apr 27, 2018; 211608
Casey Nicol
Casey Nicol
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Abstract
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Introduction: The purpose of this study was to examine the utilization of antenatal late preterm steroids (ALPS) at a single institution following publication of recent evidence suggesting neonatal benefits in the late preterm period.

Methods: A retrospective cohort study was performed including all patients with singleton gestations at 34 weeks to 36 weeks 5 days admitted from April 2016 through March 2017.

Results: During the study period, 102 patients met inclusion criteria. A total of 28 patients (27.5%) received ALPS. Of the entire cohort, 35 (34.3%) patients qualified for ALPS administration. Of these 35 qualifying patients, 21 (60%) received steroids and 14 (40%) did not. Seven (6.9%) patients received steroids and did not meet standard ALPS criteria. Maternal demographic characteristics and indications for admission were similar between groups. Women who received ALPS were admitted at an earlier median gestational age than women not given ALPS (p
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