الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The organization of antenatal corticosteroids for the counteractive action of respiratory trouble disorder (RDS) in embryos at under 34 weeks of incubation is generally bolstered and drilled since the National Institutes of Health Consensus proclamation in 1994.
The present proposal of the American College of Obstetricians and Gynecologists is that elective conveyance before 39 weeks of incubation ought not be performed without documentation of fetal lung development. Most of these elective conveyances happen in the late preterm (34 0/7 to 36 6/7 weeks of incubation) and early term (37 0/7 to 38 6/7 weeks of development) periods, times during growth with constrained information to help a potential advantage of organization of antenatal corticosteroids. All things considered, with some proof that steroid treatment following 34 weeks of growth upgrades fetal lung development profiles, a few obstetricians give antenatal corticosteroids after fetal lung testing is youthful with an end goal to instigate by and large fetal development and avert neonatal bleakness with up and coming conveyance of the baby.
The organization of antenatal corticosteroids to the lady who is in danger of unavoidable preterm birth is emphatically connected with diminished neonatal dismalness and mortality.
Treatment should comprise of either two 12-mg dosages of betamethasone allowed intramuscularly 24 hours separated or four 6-mg portions of dexamethasone managed intramuscularly at regular intervals. Since treatment with corticosteroids for under 24 hours is still connected with huge decrease in neonatal bleakness and mortality, a first portion of antenatal corticosteroids ought to be controlled regardless of whether the capacity to give the subsequent portion is far-fetched, in light of the clinical situation.
The type of betamethasone accessible in the Egyptian market is Diprofos® (Betamethasone dipropionate, Betamethasone sodium phosphate). It is a long acting structure, not explicitly intended for fetal lung development. Notwithstanding, it is in like manner use in the Egyptian market as of now. There are no investigations to assess the impact of Diprofos® on fetal development.
The point of this investigation was to look at development bends in the two after gatherings; Pregnant ladies who got Diprofos R intramuscular in seventh and eighth gestational month because of history of preterm work, Pregnant ladies who did not get Diprofos.
This investigation was completed on 200 instances of patients going to shatby maternity college emergency clinic.
All patients will sign educated assent for cooperation in the investigation. Patients will be isolated into two gatherings :
Gathering A (study gathering): This gathering incorporate 100 patients with high chance for preterm work and they got I.M Diprofos R at 28 weeks and 32 weeks.