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The C*STEROID Trial: Corticosteroids before planned caesarean section from 35+0 to 39+6 weeks of pregnancy.

Phase 3
Recruiting
Conditions
Caesarean section delivery
Respiratory distress syndrome
Transient tachypnoea of the newborn
Neonatal hypoglycaemia
Respiratory - Other respiratory disorders / diseases
Reproductive Health and Childbirth - Complications of newborn
Registration Number
ACTRN12620000914965
Lead Sponsor
The University of Auckland
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Female
Target Recruitment
2548
Inclusion Criteria

1. Women for whom caesarean section is planned pre-labour at 35+0 to 39+6 weeks gestation.
2. >24 hours and <7 days before planned birth.
3. Singleton or twin pregnancy with a live fetus.

Exclusion Criteria

1. Diabetes: pre-existing or gestational.
2. Major fetal abnormality.
3. Prior corticosteroid use in this pregnancy (intramuscular corticosteroid use for fetal lung maturity).
4. Prior enrolment in the C*STEROID Feasibility Study or C*STEROID Trial, in a previous pregnancy.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of respiratory distress requiring >60 minutes of respiratory support (neonatal outcome). Includes mechanical and non-invasive ventilation where sum of both is >60 minutes (e.g. intermittent positive pressure via endotracheal tube, nasal continuous positive airway pressure, Hi- or Lo-flow oxygen/air mix or increased ambient oxygen delivered into an incubator). >60 minutes has been selected to eliminate short-term support which may be subject to variation by clinician. Data will be collected by review of hospital/neonatal unit records.[ Primary hospital discharge];Incidence of neonatal hypoglycaemia (blood glucose level <2.6 mmol/L) prior to primary hospital discharge. Data will be collected by review of hospital records and/or glucose oxidase test results.[ Primary hospital discharge]
Secondary Outcome Measures
NameTimeMethod
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