The Antenatal Corticosteroids Trial (ACT): a secondary analysis to explore site differences in a multi-country trial.

ABSTRACT:

Background

The Antenatal Corticosteroid Trial (ACT) assessed the feasibility, effectiveness, and safety of a multifaceted intervention to increase the use of antenatal corticosteroids (ACS) in mothers at risk of preterm birth at all levels of care in low and middle-income countries. The intervention effectively increased the use of ACS but had no overall impact on neonatal mortality in the targeted <5(th) percentile birth weight infants. Being in the intervention clusters was also associated with an overall increase in neonatal deaths. We sought to explore plausible pathways through which this intervention increased neonatal mortality.

Methods

We conducted secondary analyses to assess site differences in outcome and potential explanations for the differences in outcomes if f

SUBMITTER: Klein K 

PROVIDER: S-EPMC4878061 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature