Use of antenatal corticosteroids for preterm birth in Latin America: providers knowledge, attitudes and practices

Background Antenatal corticosteroids administered to women at risk of preterm birth is an intervention which has been proved to reduce the risk of respiratory distress syndrome, intraventricular hemorrhage, and neonatal mortality. There is a significant gap in the literature regarding the prevalence...

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Autores: Alemán Riganti, Alicia, Cafferata, María Luisa, Gibbons, Luz, Althabe, Fernando, Ortiz, José, Sandoval, Xochitl, Padilla Raygoza, Nicolás, Belizán, José M.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2013
País:Ecuador
Institución:Universidad de Cuenca
Repositorio:Repositorio Universidad de Cuenca
Idioma:inglés
OAI Identifier:oai:dspace.ucuenca.edu.ec:123456789/22110
Acceso en línea:http://dspace.ucuenca.edu.ec/handle/123456789/22110
Access Level:acceso abierto
Palabra clave:Antenatal Corticosteroids
Preterm Birth
Respiratory Distress Syndrome
Prevention
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spelling 2015-06-12T12:33:06Z2015-06-12T12:33:06Z2013http://dspace.ucuenca.edu.ec/handle/123456789/22110doi: 10.1186/1742-4755-10-4Background Antenatal corticosteroids administered to women at risk of preterm birth is an intervention which has been proved to reduce the risk of respiratory distress syndrome, intraventricular hemorrhage, and neonatal mortality. There is a significant gap in the literature regarding the prevalence of the use of antenatal corticosteroids in Latin American countries and the attitudes and opinions of providers regarding this practice. The aim of this study was to assess the knowledge, attitudes and practices of health care providers regarding the use of antenatal corticosteroids in women at risk of preterm birth in Latin America. Methods This was a multicenter, prospective, descriptive study conducted in maternity hospitals in Ecuador, El Salvador, Mexico and Uruguay. Physicians and midwives who provide prenatal care or intrapartum care for women delivering in the selected hospitals were approached using a self-administered questionnaire. Descriptive statistics was used. Results The percentage of use of ACT in threatened preterm labour (TPL) reported by providers varies from 70% in Mexico to 97% in Ecuador. However, 60% to 20% of the providers mentioned that they would not use this medication in women at risk and would limit its use when there was a threatened preterm labour. In only one country recommended regimens of antenatal corticosteroids are followed by around 90% of providers whereas in the other three countries recommended regimens are followed by only 21%, 61%, 69% of providers. Around 40% of providers mentioned that they would administer a new dose of corticosteroids again, regardless the patient already receiving an entire regimen. Between 11% and 35% of providers, according to the countries, mentioned that they do not have adequate information on the correct use of this medication. Conclusions This study shows that the use of this intervention could be improved by increasing the knowledge of Latin American providers on its indications, benefits, and regimens.Cuencavolumen 10; número 1application/pdfenghttp://creativecommons.org/licenses/by-nc-sa/3.0/ec/info:eu-repo/semantics/openAccessAntenatal CorticosteroidsPreterm BirthRespiratory Distress SyndromePreventionUse of antenatal corticosteroids for preterm birth in Latin America: providers knowledge, attitudes and practicesReproductive Healthinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlereponame:Repositorio Universidad de Cuencainstname:Universidad de Cuencainstacron:UCUENCAAlemán Riganti, AliciaCafferata, María LuisaGibbons, LuzAlthabe, FernandoOrtiz, JoséSandoval, XochitlPadilla Raygoza, NicolásBelizán, José M.THUMBNAILscopus 90.pdf.jpgscopus 90.pdf.jpgGenerated Thumbnailimage/jpeg1711https://dspace-test.ucuenca.edu.ec/bitstreams/ee57be98-dfb8-49ee-8054-612de2ee2379/download87ca8cb8db903da8ee9f16d938c45d3aMD54TEXTscopus 90.pdf.txtscopus 90.pdf.txtExtracted texttext/plain33567https://dspace-test.ucuenca.edu.ec/bitstreams/610afb34-66e1-491b-a504-5f5e1f46f656/download14ca1b8a261e2f43f2be90bc0bfe97f0MD53ORIGINALscopus 90.pdfscopus 90.pdftexto completoapplication/pdf164821https://dspace-test.ucuenca.edu.ec/bitstreams/2a55ddd5-e309-4c59-a8f2-6370fb4e9aac/download658bf2be3c1383cba0d9d9384657da8bMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-820352https://dspace-test.ucuenca.edu.ec/bitstreams/00152408-38db-4599-8887-092520ea0f8f/download27c93fa010735cfefcc65f44bf3bb1d0MD52123456789/221102020-07-31 20:12:19.547http://creativecommons.org/licenses/by-nc-sa/3.0/ec/openAccessopen.accessoai:dspace.ucuenca.edu.ec:123456789/22110https://dspace-test.ucuenca.edu.ecInstitucionalhttp://dspace.ucuenca.edu.ec/Universidad públicahttps://www.ucuenca.edu.ec/http://dspace.ucuenca.edu.ec/oai.Ecuador...opendoar:41862020-08-01T01:12:19Repositorio Universidad de Cuenca - Universidad de Cuencafalse
dc.title.es_ES.fl_str_mv Use of antenatal corticosteroids for preterm birth in Latin America: providers knowledge, attitudes and practices
dc.title.alternative.es_ES.fl_str_mv Reproductive Health
title Use of antenatal corticosteroids for preterm birth in Latin America: providers knowledge, attitudes and practices
spellingShingle Use of antenatal corticosteroids for preterm birth in Latin America: providers knowledge, attitudes and practices
Alemán Riganti, Alicia
Antenatal Corticosteroids
Preterm Birth
Respiratory Distress Syndrome
Prevention
title_short Use of antenatal corticosteroids for preterm birth in Latin America: providers knowledge, attitudes and practices
title_full Use of antenatal corticosteroids for preterm birth in Latin America: providers knowledge, attitudes and practices
title_fullStr Use of antenatal corticosteroids for preterm birth in Latin America: providers knowledge, attitudes and practices
title_full_unstemmed Use of antenatal corticosteroids for preterm birth in Latin America: providers knowledge, attitudes and practices
title_sort Use of antenatal corticosteroids for preterm birth in Latin America: providers knowledge, attitudes and practices
dc.creator.none.fl_str_mv Alemán Riganti, Alicia
Cafferata, María Luisa
Gibbons, Luz
Althabe, Fernando
Ortiz, José
Sandoval, Xochitl
Padilla Raygoza, Nicolás
Belizán, José M.
author Alemán Riganti, Alicia
author_facet Alemán Riganti, Alicia
Cafferata, María Luisa
Gibbons, Luz
Althabe, Fernando
Ortiz, José
Sandoval, Xochitl
Padilla Raygoza, Nicolás
Belizán, José M.
author_role author
author2 Cafferata, María Luisa
Gibbons, Luz
Althabe, Fernando
Ortiz, José
Sandoval, Xochitl
Padilla Raygoza, Nicolás
Belizán, José M.
author2_role author
author
author
author
author
author
author
dc.subject.es_ES.fl_str_mv Antenatal Corticosteroids
Preterm Birth
Respiratory Distress Syndrome
Prevention
topic Antenatal Corticosteroids
Preterm Birth
Respiratory Distress Syndrome
Prevention
description Background Antenatal corticosteroids administered to women at risk of preterm birth is an intervention which has been proved to reduce the risk of respiratory distress syndrome, intraventricular hemorrhage, and neonatal mortality. There is a significant gap in the literature regarding the prevalence of the use of antenatal corticosteroids in Latin American countries and the attitudes and opinions of providers regarding this practice. The aim of this study was to assess the knowledge, attitudes and practices of health care providers regarding the use of antenatal corticosteroids in women at risk of preterm birth in Latin America. Methods This was a multicenter, prospective, descriptive study conducted in maternity hospitals in Ecuador, El Salvador, Mexico and Uruguay. Physicians and midwives who provide prenatal care or intrapartum care for women delivering in the selected hospitals were approached using a self-administered questionnaire. Descriptive statistics was used. Results The percentage of use of ACT in threatened preterm labour (TPL) reported by providers varies from 70% in Mexico to 97% in Ecuador. However, 60% to 20% of the providers mentioned that they would not use this medication in women at risk and would limit its use when there was a threatened preterm labour. In only one country recommended regimens of antenatal corticosteroids are followed by around 90% of providers whereas in the other three countries recommended regimens are followed by only 21%, 61%, 69% of providers. Around 40% of providers mentioned that they would administer a new dose of corticosteroids again, regardless the patient already receiving an entire regimen. Between 11% and 35% of providers, according to the countries, mentioned that they do not have adequate information on the correct use of this medication. Conclusions This study shows that the use of this intervention could be improved by increasing the knowledge of Latin American providers on its indications, benefits, and regimens.
publishDate 2013
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