Impact of corticosteroide and magnesium sulfate use on 32- week newborn outcomes
DOI:
https://doi.org/10.17765/2176-9206.2026v19e13439Keywords:
Coricosteroids, Gestational, Magnesium SulfateAbstract
The objective of this study was to evaluate the impact of corticosteroid use and magnesium sulfate administration in newborns at 32 weeks of gestation. This was a cross-sectional study including 132 patients divided into three groups: complete cycle of corticosteroid and magnesium sulfate (n = 62), corticosteroid only (n = 22), and no treatment (n = 48), and the outcomes assessed were neonatal intensive care unit admission (NICU), respiratory distress syndrome (RDS), mechanical ventilation (MV), neurological impairment (NI), and death, with data analyzed at a significance level of p ? 0.05. The outcomes differed mainly regarding the need for NICU admission, which was less frequent in the complete cycle group (n = 3) and in the corticosteroid-only group (n = 1) compared with the no-treatment group (n = 10), and there was also a lower need for mechanical ventilation in the complete cycle group (n = 5) and in the corticosteroid-only group (n = 4). It is concluded that corticosteroid therapy, whether associated or not with magnesium sulfate, had a positive impact by reducing the need for NICU admission and mechanical ventilation.
Downloads
References
1. Tsakiridis I, Mamopoulos A, Athanasiadis A, Dagklis T. Antenatal Corticosteroids and Magnesium Sulfate for Improved Preterm Neonatal Outcomes: A Review of Guidelines. Obstetrical & Gynecological Survey. 2020 May;75(5):298–307. https://doi.org/10.1097/ogx.0000000000000778
2. Shepherd ES, Goldsmith S, Doyle LW, Middleton P, Marret S, Rouse DJ, et al. Magnesium Sulfate Before Preterm Birth for Neuroprotection: An Updated Cochrane Systematic Review. Obstetrics & Gynecology [Internet]. 2024 Aug 1;144(2):161. https://doi.org/10.1097/aog.0000000000005644
3. McGoldrick E, Stewart F, Parker R, Dalziel SR. Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. The Cochrane Database of Systematic Reviews [Internet]. 2020 Dec 25;12(12). https://doi.org/10.1002/14651858.cd004454.pub4
4. Williams MJ, Ramson JA, Brownfoot FC. Different corticosteroids and regimens for accelerating fetal lung maturation for babies at risk of preterm birth. Cochrane Database of Systematic Reviews. 2022 Aug 9;2022(8). https://doi.org/10.1002/14651858.CD006764.pub4
5. Bansal V, Desai A. Efficacy of Antenatal Magnesium Sulfate for Neuroprotection in Extreme Prematurity: A Comparative Observational Study. The Journal of Obstetrics and Gynecology of India. 2021 Aug 8;72(S1):36–47.
https://doi.org/10.1007/s13224-021-01531-9
6. Shepherd ES, Goldsmith S, Doyle LW, Middleton P, Marret S, Rouse DJ, et al. Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus. Cochrane library. 2024 May 10;2024(5). https://doi.org/10.1002/14651858.cd004661.pub4
7. Nelson KB, Grether JK. Can magnesium sulfate reduce the risk of cerebral palsy in very low birthweight infants? Pediatrics [Internet]. 1995 Feb 1 [cited 2023 Aug 3];95(2):263–9.
https://doi.org/10.1542/peds.95.2.263
8. Wolf H, Brok J, Henriksen T, Greisen G, Salvig J, Pryds O, et al. Antenatal magnesium sulphate for the prevention of cerebral palsy in infants born preterm: a double?blind, randomised, placebo?controlled, multi?centre trial. BJOG: An International Journal of Obstetrics & Gynaecology. 2020 Apr 29;127(10):1217–25. https://doi.org/10.1111/1471-0528.16239
9. Bachnas MA, Akbar MIA, Dachlan EG, Dekker G. The role of magnesium sulfate (MgSO4) In fetal neuroprotection. The Journal of Maternal-Fetal & Neonatal Medicine. 2019 May 27;34(6):1–13.
https://doi.org/10.1080/14767058.2019.1619688
10. Belén Fernández Monteagudo, Sonia Villar Castro, Paula Carrascosa García, Susana Zeballos Sarrato, Manuel Sánchez Luna. Neuroprotective effect of magnesium sulfate in premature infants. Analysis after establishing an antenatal administration protocol in a tertiary care hospital. Anales de pediatría. 2023 Oct 1;99(4):224–31. https://doi.org/10.1016/j.anpede.2023.07.007
11. Kyana Jafarabady, Arman Shafiee, Eshraghi N, Seyyed Amirhossein Salehi, Mohammadi I, Shahryar Rajai, et al. Magnesium sulfate for fetal neuroprotection in preterm pregnancy: a meta-analysis of randomized controlled trials. BMC Pregnancy and Childbirth. 2024 Aug 1;24(1).
https://doi.org/10.1186/s12884-024-06703-9
12. Jafar U, Nawaz A, Zahid A, Samavia Saddiqah, Fakiha Zainab, Naeem S, et al. Magnesium sulfate for fetal neuroprotection in preterm labor: an updated systematic review and meta-analysis of randomized controlled trials. Archives of Gynecology and Obstetrics. 2024 Dec 26;
https://doi.org/10.1007/s00404-024-07891-7
13. Ayed M, Ahmed J, More K, Ayed A, Husain H, AlQurashi A, et al. Antenatal Magnesium Sulfate for Preterm Neuroprotection: A Single-Center Experience from Kuwait Tertiary NICU. Biomedicine Hub. 2022 Jun 30;7(2):80–7. https://doi.org/10.1159/000525431
14. Onland W, van de Loo M, Offringa M, van Kaam A. Systemic corticosteroid regimens for prevention of bronchopulmonary dysplasia in preterm infants. Cochrane Database of Systematic Reviews. 2023 Mar 13;2023(3).
https://doi.org/10.1002/14651858.CD010941.pub3
15. Saito K, Nishimura E, Ota E, Namba F, Toshiyuki Swa, Ramson J, et al. Antenatal corticosteroids in specific groups at risk of preterm birth: a systematic review. BMJ Open. 2023 Sep 1;13(9):e065070–0.
https://doi.org/10.1136/bmjopen-2022-065070
16. Ninan K, Gojic A, Wang Y, Asztalos EV, Beltempo M, Murphy KE, et al. The proportions of term or late preterm births after exposure to early antenatal corticosteroids, and outcomes: systematic review and meta-analysis of 1.6 million infants. BMJ [Internet]. 2023 Aug 2;382:e076035.
https://doi.org/10.1136/bmj-2023-076035
17. Htun ZT, Hairston JC, Gyamfi-Bannerman C, Marasch J, Duarte Ribeiro AP. Antenatal Corticosteroids: Extending the Practice for Late-Preterm and Scheduled Early-Term Deliveries? Children. 2021 Apr 1;8(4):272. https://doi.org/10.3390/children8040272
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Saúde e Pesquisa

This work is licensed under a Creative Commons Attribution 4.0 International License.
A submissão de originais para a revista Saúde e Pesquisa implica na transferência da Carta Concessão de Direitos Autorais, pelos autores, dos direitos de publicação digital para a revista após serem informados do aceite de publicação.A Secretaria Editorial irá fornecer da um modelo de Carta de Concessão de Direitos Autorais, indicando o cumprimento integral de princípios éticos e legislação específica. Os direitos autorais dos artigos publicados nesta revista são de direito do autor, com direitos da revista sobre a primeira publicação. Os autores somente poderão utilizar os mesmos resultados em outras publicações, indicando claramente a revista Saúde e Pesquisa como o meio da publicação original. Em virtude de tratar-se de um periódico de acesso aberto, é permitido o uso gratuito dos artigos, principalmente em aplicações educacionais e científicas, desde que citada a fonte. A Saúde e Pesquisa adota a licença Creative Commons Attribution 4.0 International.
A revista se reserva o direito de efetuar, nos originais, alterações de ordem normativa, ortográfica e gramatical, com vistas a manter o padrão culto da língua e a credibilidade do veículo. Respeitará, no entanto, o estilo de escrever dos autores. Alterações, correções ou sugestões de ordem conceitual serão encaminhadas aos autores, quando necessário. Nesses casos, os artigos, depois de adequados, deverão ser submetidos a nova apreciação. As opiniões emitidas pelos autores dos artigos são de sua exclusiva responsabilidade.








