PRENATAL CARE. The Egyptian Consensus on the Management of Neonatal Respiratory Distress Syndrome 2017

NEONATAL CARE NETWORK 2017 (NCN

Recommendations

1. Mothers at high risk of preterm birth <34 weeks’ gestation should be transferred to perinatal centers with experience in the management of RDS (C1)

2.Clinicians should offer a single course of prenatal corticosteroids to all women at risk of preterm delivery, from when pregnancy is considered potentially viable up to 34

completed weeks’ gestation (A1).

3.A single repeat course of antenatal steroids may be appropriate if the first course was administered more than 1–2 weeks previously and the duration of pregnancy is <32 –34 weeks’ gestation when another obstetric indication arises (A2).

4. Antenatal steroids can also be considered for CS not in labour up to 39 weeks (B2). 

However, there should be a clear medical reason to do an early CS, and elective CS should not  be performed <39 weeks’ gestation.

5.In late preterm pregnancy at risk of early birth, a course of antenatal steroids may  also be considered provided there is no evidence of chorioamnionitis (C2).

 6. In women with symptoms of preterm labour, cervical length measurement should be considered to prevent unnecessary hospitalization and use of tocolytic drugs and/or antenatal steroids (B2).

7. Clinicians should consider short-term use of tocolytic drugs in very preterm pregnancies to allow completion of a course of prenatal corticosteroids and/or in utero transfer to a perinatal centre (B1).

8. Antibiotics should only be given to mothers with preterm prelabour rupture of membranes.

  • Qual­i­ty of evi­dence

   — High qual­i­ty A

   — Mod­er­ate qual­i­ty B

   — Low qual­i­ty C

   — Very low qual­i­ty D

MODIFIED FROM:

Euro­pean Con­sen­sus Guide­lines on the Man­age­ment of Res­pi­ra­to­ry Dis­tress Syn­drome – 2016 Update

Spon­sored by: abb­vie EGYPT

Shar­ing pro­fes­sors:

  • Prof Abdel Rah­man El Mashad (Tan­ta univ)
  • Prof Afaf Kor­raa (Azhar univ)
  • Prof El Sayed Kha­laf (Port fouad hosp, min­istry of health)
  • Prof Iman Eskan­der (Cairo univ)
  • Prof Hes­ham Abdel Hady (Man­soura univ)
  • Prof Hes­ham Ghaz­al (Alexan­dria univ)
  • Prof Mag­da Badawy (Cairo univ)
  • Prof Madi­ha Abdal­la (Minia univ)
  • Prof Magdy Kamel (Minia univ)
  • Prof M Abdel Aaal El Bagy (Sohag univ)
  • Prof Morad El Alfy (Al Galaa mil­i­tary cen­ter)
  • Prof Nahed Fah­my (Cairo univ)
  • Prof Nay­era Ismaeil (Ain Shams univ)
  • Prof Raguia Atwa (Ain Shams univ)
  • Prof Safaa Shafeek (Ain Shams univ)
  • Prof Sozan Gad (Suez canal univ)
  • Prof Osama Hus­sein (Port said neona­tol­ogy soci­ety)
  • Prof Osama Kasem (Al Galaa mil­i­tary cen­ter)
  • Prof Yehia Mah­moud Basha (Daman­hour teach­ing hosp)
  • Prof Zahraa Ezz El Deen (Cairo univ)