Glucocorticoids and Preterm Hypoxic-Ischemic Brain Injury: The Good and the Bad

Fetuses at risk of premature delivery are now routinely exposed to maternal treatment with synthetic glucocorticoids. In randomized clinical trials, these substantially reduce acute neonatal systemic morbidity, and mortality, after premature birth and reduce intraventricular hemorrhage. However, the...

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Main Authors: Laura Bennet (Author), Joanne O. Davidson (Author), Miriam Koome (Author), Alistair Jan Gunn (Author)
Format: Book
Published: Hindawi Limited, 2012-01-01T00:00:00Z.
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100 1 0 |a Laura Bennet  |e author 
700 1 0 |a Joanne O. Davidson  |e author 
700 1 0 |a Miriam Koome  |e author 
700 1 0 |a Alistair Jan Gunn  |e author 
245 0 0 |a Glucocorticoids and Preterm Hypoxic-Ischemic Brain Injury: The Good and the Bad 
260 |b Hindawi Limited,   |c 2012-01-01T00:00:00Z. 
500 |a 2090-2727 
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520 |a Fetuses at risk of premature delivery are now routinely exposed to maternal treatment with synthetic glucocorticoids. In randomized clinical trials, these substantially reduce acute neonatal systemic morbidity, and mortality, after premature birth and reduce intraventricular hemorrhage. However, the overall neurodevelopmental impact is surprisingly unclear; worryingly, postnatal glucocorticoids are consistently associated with impaired brain development. We review the clinical and experimental evidence on how glucocorticoids may affect the developing brain and highlight the need for systematic research. 
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690 |a Gynecology and obstetrics 
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655 7 |a article  |2 local 
786 0 |n Journal of Pregnancy, Vol 2012 (2012) 
787 0 |n http://dx.doi.org/10.1155/2012/751694 
787 0 |n https://doaj.org/toc/2090-2727 
787 0 |n https://doaj.org/toc/2090-2735 
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