Maternal and fetal outcomes in pregnancies with long-term corticosteroid use

Cai, Emmy; Czuzoj‐Shulman, Nicholas; Abenhaim, Haim A.

doi:10.1080/14767058.2019.1649392

Cited by 13 publications

(10 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the mother, long-term use of steroids increases the risk of peripartum infection, gestational hypertension, and preeclampsia (15). In addition, during labor, hemodynamic instability may occur.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Management of A Patient with Henoch-Schonlein Purpura for Caesarean Section

Wijaya

2022

IJAR

View full text Add to dashboard Cite

Introduction: Henoch-Schonlein Purpura or Immunoglobulin-A vasculitis is a systemic vasculitis caused by immune complexes that attack small blood vessels. The classic symptoms of Henoch-Schonlein Purpura include erythema purpura, arthralgia, gastrointestinal complaints, and renal involvement. Some cases show that pregnancy itself could be the trigger for its recurrence and lead to early delivery. Case report: A 33-year-old patient, G2P1A0 and 35 weeks and 4 days pregnant complained of diarrhea 8 days before hospital admission (8-15 times per day). The patient was diagnosed with Henoch-Schonlein Purpura 3 years ago. Upon monitoring in the ward, the fetus was found to be in a compromised condition and an emergency cesarean section was needed. The patient was assessed as having an ASA II physical status and was anesthetized with regional anesthesia epidural in the sitting position, with a median approach, puncture at L3-L4 level, and with 12 ml of Bupivacaine 0.5% isobaric. Postoperative care was continued in the ward. Discussion: As long as there are no contraindications, a neuraxial block could be performed on parturient patients with Henoch-Schonlein Purpura who would undergo a cesarean section. Neuraxial block, namely epidural block, has the added advantage of being a postoperative analgesic and helps to avoid the use of Non-Steroidal Anti Inflammatory Drugs (NSAIDs) in Henoch-Schonlein Purpura patients who often have renal complications. Conclusion: Caesarean Section with Henoch-Schonlein Purpura disease has been reported with Epidural Block Anesthesia without complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Anesthetic Management of A Patient with Henoch-Schonlein Purpura for Caesarean Section

Wijaya

2022

IJAR

View full text Add to dashboard Cite

show abstract

“…Corticosteroid use was prescribed as not less than ten days of parenteral or oral therapy in about 30 days before surgery is carried out [7]. We applied the propensity score test to study and investigate the independent relationship between preoperative corticosteroid use and its postoperative outcomes in terms of infections and complications [8].…”

Section: Methodsmentioning

confidence: 99%

Adverse Effect of Preoperative Steroid Use on Surgical Outcomes

Garapati¹

2020

View full text Add to dashboard Cite

“…25,26 In addition, long-term corticosteroid use is also linked to increased risk of preeclampsia which needs to be taken into consideration for treatment and monitoring. 27 If corticosteroids are needed to manage a severe flare of inflammatory bowel disease or lupus, this benefit may outweigh the small increased risk of preeclampsia and needs to be balanced for each individual pregnant patient.…”

Section: Successful Treatment Of Pregnant Patients Requires a Correctmentioning

confidence: 99%

“…For example, while angiotensin‐converting enzyme inhibitor induced fetopathy has been described since the 1990s and avoiding this drug in pregnancy is universally accepted, 24 the risk of maternal corticosteroid use with increased risk of cleft lip and palate has not been consistent among studies 25,26 . In addition, long‐term corticosteroid use is also linked to increased risk of preeclampsia which needs to be taken into consideration for treatment and monitoring 27 . If corticosteroids are needed to manage a severe flare of inflammatory bowel disease or lupus, this benefit may outweigh the small increased risk of preeclampsia and needs to be balanced for each individual pregnant patient.…”

Section: Introductionmentioning

confidence: 99%