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Related Experiment Videos

Antenatal corticosteroid prescribing: a complete audit cycle.

C Khoo1, J Welsh, P Owen

  • 1Princess Royal Maternity Hospital, Glasgow, UK.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
|March 17, 2007
PubMed
Summary

This audit of antenatal corticosteroid prescribing found increased use of potentially effective steroid courses. Continued education is recommended to maintain these improvements in prescribing practices for preterm birth prevention.

Related Experiment Videos

Area of Science:

  • Obstetrics and Gynecology
  • Pharmacology
  • Clinical Audit

Background:

  • Antenatal corticosteroids are crucial for fetal lung maturation in preterm birth.
  • Guidelines exist for appropriate prescribing, but adherence can vary.
  • Auditing prescribing practices helps identify areas for improvement.

Purpose of the Study:

  • To audit and evaluate the practice of antenatal corticosteroid prescribing.
  • To assess changes in prescribing patterns following an initial audit and dissemination of findings.
  • To identify the effectiveness of prescribed antenatal steroid courses.

Main Methods:

  • Prospective audit of antenatal steroid prescribing over two 12-week periods (2002 and 2004).
  • Data collection on steroid administration and indications for use.
  • Comparison of prescribing compliance and effectiveness between the two audit periods.

Main Results:

  • Steroid courses per delivery (24-36 weeks' gestation) increased from 0.64 to 1.18.
  • Repeat courses of steroids significantly decreased from 5% to <1%.
  • Potentially effective steroid courses increased from 24% to 35%, though effectiveness varied by indication, particularly low in preterm labor.

Conclusions:

  • The audit indicates generally encouraging trends in antenatal corticosteroid prescribing.
  • Continuing education is necessary to sustain and enhance appropriate prescribing practices.
  • Further focus on optimizing steroid use for preterm labor indications may be beneficial.