Children who were exposed to antenatal corticosteroids and had birth weights ⩽1500 g did not have adverse growth, cognitive, or lung function outcomes at age 14 years
QUESTION: Are children who were exposed to antenatal corticosteroids and had birth weights ⩽1500 g at increased risk of adverse growth, cognitive, and lung function outcomes at age 14 years?
A hospital in Melbourne, Australia.
154 consecutive infants (mean gestational age 29.4 wks, 53% boys) with birth weights ⩽1500 g who survived to age 14 years, corrected for prematurity. 130 children (84%) were assessed at age 14 years.
Assessment of risk factors
78 mothers (51%) had received 1 course of antenatal corticosteroids (betamethasone) to accelerate fetal lung maturation, and 76 (49%) had not received any antenatal corticosteroids.
Main outcome measures
Height, weight, and head circumference (z scores for appropriate age and sex, relative to the British Growth Reference of 1990); cognition (Weschsler Intelligence Scale for Children—Third Edition [WISC-III]); visual memory (Bead Memory Test from the Stanford-Binet Intelligence Scale); visual motor, …