title: [Related factors to lack of implementation of antenatal corticosteroids].
abstract: BACKGROUND
  Despite the known benefits of antenatal corticosteroids therapy its use in clinical practice is not generalized.
  
  
  OBJECTIVE
  To identify factors related to antenatal corticosteroids non administration.
  
  
  METHODS
  Cross-sectional and descriptive study that included patients admitted to Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", who had indication for antenatal corticosteroids therapy but did not receive it. Variables: antenatal corticosteroids therapy prescription, factors related to antenatal corticosteroids therapy non administration and lapsed time between diagnosis and birth.
  
  
  RESULTS
  Antenatal corticosteroids therapy were not prescribed in 79 (94%) of 84 patients. Main related factors were imminent birth and severe maternal complication. The longer amount of time from diagnosis to birth was before hospitalization (91 vs. 9%, p <0.0005).
  
  
  CONCLUSIONS
  The biggest and best opportunity for the administration of inducers of fetal lung maturity is during prenatal care, when cases with increased risk of preterm birth are detected.
authors: América Aime
authors: AA
authors: Corona-Gutiérrez
authors: Araceli
authors: A
authors: Olivares-Ramírez
authors: Sergio
authors: S
authors: Fajardo-Dueñas
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005325:Fetal Organ Maturity / Q000187:drug effects*; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D047928:Premature Birth / Q000453:epidemiology; D011295:Prenatal Care / Q000379:methods*; D013997:Time Factors; D055815:Young Adult
chemical_list: D005938:Glucocorticoids