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Lower costs associated with late-preterm steroid therapy

Study adds evidence to benefits of treatment for women at risk of delivery between 34th and 36th weeks

Date:
March 12, 2019
Source:
NIH/Eunice Kennedy Shriver National Institute of Child Health and Human Development
Summary:
An analysis of a previous study has found more evidence to support giving the steroid betamethasone to pregnant women at risk of late-preterm delivery (between 34 and 36 weeks of gestation), according to new research. Hospital stays for infants whose mothers received the drug cost less on average, compared to stays for infants whose mothers did not take the drug.
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An analysis of a previous study has found more evidence to support giving the steroid betamethasone to pregnant women at risk of late-preterm delivery (between 34 and 36 weeks of gestation), according to a network funded by the National Institutes of Health. Hospital stays for infants whose mothers received the drug cost less on average, compared to stays for infants whose mothers did not take the drug. The study appears in JAMA Pediatrics.

Prenatal steroids are a standard treatment for women at risk of giving birth before 34 weeks of pregnancy. The drugs improve survival by helping the fetal lungs to mature. Originally, researchers thought that steroid treatment was not needed for late-preterm infants, but a 2016 randomized trial conducted by the Maternal-Fetal Medicine Units (MFMU) Network, a group of clinical sites funded by NIH's Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), suggested that the practice could provide some benefit. That study found that late preterm infants whose mothers received betamethasone during pregnancy had fewer lung complications and less need for respiratory treatments, compared to those whose mothers had not received the drug. Side effects of steroids include sepsis (blood infection), blood clots and bone fracture.

For the current study, MFMU researchers estimated costs for 1,426 mother-infant pairs in the original study based on Medicaid rates and costs for newborn intensive care, hospital stays and outpatient visits. The average cost for the betamethasone group was $4,681, while the cost for those who did not receive the drug was $5,379.

NIH's National Heart, Lung, and Blood Institute also provided funding for the study.


Story Source:

Materials provided by NIH/Eunice Kennedy Shriver National Institute of Child Health and Human Development. Note: Content may be edited for style and length.


Journal Reference:

  1. Cynthia Gyamfi-Bannerman, John A. F. Zupancic, Grecio Sandoval, William A. Grobman, Sean C. Blackwell, Alan T. N. Tita, Uma M. Reddy, Lucky Jain, George R. Saade, Dwight J. Rouse, Jay D. Iams, Erin A. S. Clark, John M. Thorp, Edward K. Chien, Alan M. Peaceman, Ronald S. Gibbs, Geeta K. Swamy, Mary E. Norton, Brian M. Casey, Steve N. Caritis, Jorge E. Tolosa, Yoram Sorokin, J. Peter VanDorsten. Cost-effectiveness of Antenatal Corticosteroid Therapy vs No Therapy in Women at Risk of Late Preterm Delivery. JAMA Pediatrics, 2019; DOI: 10.1001/jamapediatrics.2019.0032

Cite This Page:

NIH/Eunice Kennedy Shriver National Institute of Child Health and Human Development. "Lower costs associated with late-preterm steroid therapy." ScienceDaily. ScienceDaily, 12 March 2019. <www.sciencedaily.com/releases/2019/03/190312092524.htm>.
NIH/Eunice Kennedy Shriver National Institute of Child Health and Human Development. (2019, March 12). Lower costs associated with late-preterm steroid therapy. ScienceDaily. Retrieved March 28, 2024 from www.sciencedaily.com/releases/2019/03/190312092524.htm
NIH/Eunice Kennedy Shriver National Institute of Child Health and Human Development. "Lower costs associated with late-preterm steroid therapy." ScienceDaily. www.sciencedaily.com/releases/2019/03/190312092524.htm (accessed March 28, 2024).

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