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[Antenatal betamethasone during pregnancy with severe diabetes: is better worse than good?]. / Maturation par bêtaméthasone au cours d'une grossesse de femme présentant un diabète compliqué: le mieux est-il l'ennemi du bien?
Barondiot, C; Morel, O; Vieux, R; Sery, G-A; Floriot, M; Hascoet, J-M.
Afiliación
  • Barondiot C; Service de néonatalogie-soins intensifs et réanimation néonatals, maternité régionale Nancy-Universités, 10, rue du Docteur-Heydenreich, 54042 Nancy, France.
Arch Pediatr ; 14(8): 989-92, 2007 Aug.
Article en Fr | MEDLINE | ID: mdl-17459675
Diabetic pregnancy is a precarious situation, both for mother and fetus, because it increases the risk of prematurity and respiratory distress. We report 3 cases of severe acute complications following antenatal betamethasone treatment in mothers presenting with severe diabetes. Corticosteroids are strongly recommended to prevent prematurity complications in newborns. We highlight the high risk profile of theses pregnancies, the effect of this treatment on the mother and the child, and question the real benefit of corticotherapy for these fragile newborns. The metabolic and blood pressure balance is dangerously disturbed in such pregnancies by this treatment. This brings the question of how justified are corticosteroids in such cases?
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Embarazo en Diabéticas / Betametasona / Glucocorticoides / Enfermedades del Prematuro Tipo de estudio: Etiology_studies Límite: Adult / Female / Humans / Male / Newborn / Pregnancy Idioma: Fr Revista: Arch Pediatr Año: 2007 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Embarazo en Diabéticas / Betametasona / Glucocorticoides / Enfermedades del Prematuro Tipo de estudio: Etiology_studies Límite: Adult / Female / Humans / Male / Newborn / Pregnancy Idioma: Fr Revista: Arch Pediatr Año: 2007 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia