FETAL LUNG MATURATION WITH CORTICOSTEROIDS, A COMPLEX SITUATION IN THE MOTHER WITH DIABETES

Abstract

Lungs maturation with corticosteroids has been a very significant advance in the prevention of respiratory complications of premature infants, becoming a milestone in the history of modern medicine. It is known that the children of mothers with gestational or pre-gestational diabetes have a higher incidence of respiratory distress syndrome of the newborn, so they are benefited by this medical practice. Strict metabolic control during this treatment is essential through the implementation of glycemic monitoring and insulin infusion protocols, since the hyperglycemic effect of corticosteroids could cause an inhibition of surfactant production, which would impede its effect on lung maturation not obtaining, consequently, the beneficial effects at the respiratory level. For this reason, different treatment schemes have been established in order to obtain the desired results, avoiding or minimizing the risks.

Keywords

• maduración pulmonar fetal
• corticoides
• diabetes gestacional
• distrés respiratorio