{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T10:42:42Z","timestamp":1787568162194,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1186572"],"award-info":[{"award-number":["1186572"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009287","name":"NSW Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009287","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001065","name":"Australian Diabetes Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001065","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The use of antenatal corticosteroids appears to be increasing despite limited and conflicting evidence about its efficacy among women with diabetes in pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To separately assess the effects of maternal diabetes and the effects of antenatal corticosteroid administration prior to late preterm birth on adverse maternal and neonatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Cohort study of women who gave birth \u2265\u200935\u2009weeks gestation between September 2016 and March 2021 in two local health districts in New South Wales, Australia. Women were grouped into one of the following: (1) diabetes and received corticosteroids, (2) diabetes and no corticosteroids, (3) no diabetes and received corticosteroids. Modified Poisson regression was used to estimate adjusted relative risks (aRR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 5 067 women were included (Group 1\u2009=\u2009205, Group 2\u2009=\u20094 028, Group 3\u2009=\u2009834). Women who received corticosteroids were characterised by higher proportions of hypertension, hospital\u2010based medical antenatal care, multiple births and caesarean section. There were no differences in maternal and neonatal outcomes for women who had diabetes and received corticosteroids compared to those who had diabetes and did not receive corticosteroids. Women with diabetes who received corticosteroids had a higher risk of infants with neonatal hypoglycaemia (aRR 1.61, 95% CI 1.28\u20132.02) and admission to nursery or intensive care unit (aRR 1.18, 95% CI 1.02\u20131.38), compared to women without diabetes who received corticosteroids.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There is limited evidence of benefit for the use of antenatal corticosteroids in late preterm gestations, regardless of diabetes status. Further studies are required to identify potential longer\u2010term benefits or harms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70164","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T05:43:27Z","timestamp":1785303807000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes for Women With Diabetes at Late Preterm Gestation Who Received Antenatal Corticosteroids: A Population\u2010Based Cohort Study"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6024-2958","authenticated-orcid":false,"given":"Ibinabo","family":"Ibiebele","sequence":"first","affiliation":[{"name":"Reproduction and Perinatal Centre \u2013 Northern Precinct, Faculty of Medicine and Health, the University of Sydney  Sydney New South Wales Australia"},{"name":"Kolling Institute, University of Sydney &amp; Northern Sydney Local Health District  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8887-4599","authenticated-orcid":false,"given":"Kata","family":"Kraljevic","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal North Shore Hospital, North Sydney Local Health District  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9317-1348","authenticated-orcid":false,"given":"Sarah","family":"Glastras","sequence":"additional","affiliation":[{"name":"Kolling Institute, University of Sydney &amp; Northern Sydney Local Health District  St Leonards New South Wales Australia"},{"name":"Department of Diabetes Endocrinology and Metabolism, Royal North Shore Hospital, North Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9663-2624","authenticated-orcid":false,"given":"Tessa","family":"Weir","sequence":"additional","affiliation":[{"name":"Kolling Institute, University of Sydney &amp; Northern Sydney Local Health District  St Leonards New South Wales Australia"},{"name":"Department of Endocrinology Nepean Blue Mountains Hospital, Nepean Blue Mountains Local Health District  Kingswood New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Randall","sequence":"additional","affiliation":[{"name":"Reproduction and Perinatal Centre \u2013 Northern Precinct, Faculty of Medicine and Health, the University of Sydney  Sydney New South Wales Australia"},{"name":"Kolling Institute, University of Sydney &amp; Northern Sydney Local Health District  St Leonards New South Wales Australia"},{"name":"Clinical Excellence Commission, New South Wales Health  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Nippita","sequence":"additional","affiliation":[{"name":"Reproduction and Perinatal Centre \u2013 Northern Precinct, Faculty of Medicine and Health, the University of Sydney  Sydney New South Wales Australia"},{"name":"Kolling Institute, University of Sydney &amp; Northern Sydney Local Health District  St Leonards New South Wales Australia"},{"name":"Department of Obstetrics and Gynaecology Royal North Shore Hospital, North Sydney Local Health District  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Australian Institute of Health and Welfare \u201cData tables: National Perinatal Data Collection annual update 2023. 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