[Preterm corticosteroid therapy and fetal immobility. Case report].
We report a case of fetal immobility following antenatal corticosteroid therapy administered to women in thirty weeks at risk of preterm labor. The short-term side effect of corticosteroid, a decrease in fetal heart rate variation are well known. This case report presents the difficulty of therapy choice in front of fetal immobility and acute fetal distress. We chose a medical supervision. A review of the literature suggests other criteria, such as Doppler of umbilical artery, which could help therapeutical choice.
Lenoble
C
C
Service de gynécologie-obstétrique, hôpital Rothschild, 33, boulevard de Picpus, 75012 Paris, France.
Kimata
P
P
Carrasset
G
G
Jouannic
J-M
JM
Demaria
F
F
Benifla
J-L
JL
D000305:Adrenal Cortex Hormones / Q000009:adverse effects* / Q000627:therapeutic use; D000328:Adult; D005260:Female; D005316:Fetal Distress; D005323:Fetal Monitoring; D005324:Fetal Movement / Q000187:drug effects*; D005333:Fetus / Q000187:drug effects*; D006340:Heart Rate, Fetal / Q000187:drug effects; D006801:Humans; D007231:Infant, Newborn; D007752:Obstetric Labor, Premature / Q000517:prevention & control; D011247:Pregnancy; D014463:Ultrasonography; D014469:Umbilical Arteries / Q000000981:diagnostic imaging
D000305:Adrenal Cortex Hormones