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ABSTRACT OBJECTIVE Assess if maternal betamethasone administration at 34–35 weeks accelerated neonatal amplitude integrated EEG (aEEG) maturation. STUDY DESIGN Nested, observational cohort
in 7 centers participating in the Antenatal Late Preterm Steroid randomized trial. Up to 2 aEEGs were obtained in neonates born from 340–356 weeks gestation before 72 h (aEEG 1) and at 5–7
days (aEEG 2) if hospitalized. Personnel and aEEG central readers were masked to the intervention. The primary outcome was maturation reflected by cycle frequency; secondary outcomes were
border voltage, span, and discontinuity. RESULTS 58 neonates were enrolled (betamethasone, 28, placebo, 30). On aEEG 1, cycle frequency did not differ, but betamethasone exposed infants had
a greater lower border voltage and a broader span. On aEEG 2, both groups displayed increases in lower border voltage. CONCLUSIONS Betamethasone associated changes in lower border voltage
support accelerated electrical activity. Further investigation is needed to understand the broader span. Access through your institution Buy or subscribe This is a preview of subscription
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AUTONOMIC CARDIOVASCULAR CONTROL IN FOETAL-GROWTH-RESTRICTED PRETERM INFANTS Article Open access 06 September 2024 IMPACT OF PRENATAL OPIOIDS ON CARDIAC AND AUTONOMIC DEVELOPMENT: SYSTEMATIC
REVIEW AND META-ANALYSIS Article 29 July 2022 VENTILATORY CONTROL INSTABILITY AS A PREDICTOR OF PERSISTENT PERIODIC BREATHING IN PRETERM INFANTS Article 29 October 2021 DATA AVAILABILITY
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preterm infants. Sci Rep. 2019;9:4859. Article PubMed PubMed Central Google Scholar Download references ACKNOWLEDGEMENTS The National Institutes of Health, the _Eunice Kennedy Shriver_
National Institute of Child Health and Human Development (NICHD), the National Heart, Lung, and Blood Institute, and the National Center for Advancing Translational Sciences provided grant
support for the Maternal-Fetal Medicine Units Network’s ALPS trial and the Neonatal Research Network’s aEEG secondary study. NICHD staff provided input into the study design, conduct,
analysis, and manuscript drafting; NCATS cooperative agreements provided infrastructure support to the NRN. While NICHD staff had input into the study design, conduct, analysis, and
manuscript drafting, the comments and views of the authors do not necessarily represent the views of NICHD, the National Institutes of Health, the Department of Health and Human Services, or
the U.S. Government. Data collected at participating sites of the NICHD Neonatal Research Network (NRN) were transmitted to RTI International, the data coordinating center (DCC) for the
network, which stored, managed and analyzed the data included in this study. On behalf of the NRN, RTI International had full access to all the data in the study and take responsibility for
the integrity of the data and accuracy of the data analysis. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National
Institutes of Health. We are indebted to our medical and nursing colleagues and the infants and their parents who agreed to take part in this study. The investigators below, in addition to
those listed as authors, participated in this study. FUNDING Financial support was provided by NICHD Cooperative Multicenter Neonatal Research Network, UG1HD027904 and the NICHD Cooperative
Multicenter Maternal-Fetal Medicine Units Network, U10HD036801. ClinicalTrials.gov ID ALPS: NCT01222247. AUTHOR INFORMATION Author notes * Deceased: Elizabeth A. Thom. AUTHORS AND
AFFILIATIONS * Department of Pediatrics, Women and Infants Hospital, Brown University, Providence, RI, USA Abbot R. Laptook, William Oh & Angelita M. Hensman * Department of Pediatrics,
University of Texas Southwestern Medical Center, Dallas, TX, USA Lina Chalak * Department of Pediatrics, Wayne State University, Detroit, MI, USA Athina Pappas & Seetha Shankaran *
Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine and Lucile Packard Children’s Hospital, Palo Alto, CA, USA Alexis Davis
& Krisa P. Van Meurs * Department of Pediatrics, Nationwide Children’s Hospital, The Ohio State College of Medicine, Abigail Wexner Research Institute at Nationwide Children’s Hospital,
Columbus, OH, USA Pablo J. Sanchez * Neonatology, Wellington Medical Center, Boca Raton, FL, USA Ross Sommers * Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine,
Women and Infants Hospital, Brown University, Providence, RI, USA Dwight J. Rouse * Social, Statistical and Environmental Sciences Unit, RTI International, Research Triangle, NC, USA Scott
McDonald * Social, Statistical and Environmental Sciences Unit, RTI International, Rockville, MD, USA Abhik Das * Department of Pediatrics, Duke University, Durham, NC, USA Ronald N.
Goldberg * Division of Neonatology, University of Alabama at Birmingham, Birmingham, AL, USA Namasivayam Ambalavanan * Department of Obstetrics and Gynecology, Columbia University Irving
Medical Center, New York, NY, USA Cynthia Gyamfi-Bannerman * Department of Biostatistics and Bioinformatics, George Washington University, Washington, DC, USA Elizabeth A. Thom * Department
of Global and Community Health, George Mason University, Fairfax, VA, USA Rosemary D. Higgins * Department of Pediatrics, Women and Infants Hospital, Brown University, Providence, RI, USA
Abbot R. Laptook, William Oh & Angelita M. Hensman * Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA Lina Chalak * Department of Pediatrics,
Wayne State University, Detroit, MI, USA Athina Pappas & Seetha Shankaran * Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of
Medicine and Lucile Packard Children’s Hospital, Palo Alto, CA, USA Alexis Davis & Krisa P. Van Meurs * Department of Pediatrics, Nationwide Children’s Hospital, The Ohio State College
of Medicine, Abigail Wexner Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA Pablo J. Sanchez * Social, Statistical and Environmental Sciences Unit, RTI International,
Research Triangle, NC, USA Scott McDonald * Social, Statistical and Environmental Sciences Unit, RTI International, Rockville, MD, USA Abhik Das * Department of Pediatrics, Duke University,
Durham, NC, USA Ronald N. Goldberg * Division of Neonatology, University of Alabama at Birmingham, Birmingham, AL, USA Namasivayam Ambalavanan * Department of Global and Community Health,
George Mason University, Fairfax, VA, USA Rosemary D. Higgins * Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Women and Infants Hospital, Brown University,
Providence, RI, USA Dwight J. Rouse * Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY, USA Cynthia Gyamfi-Bannerman * Department of
Biostatistics and Bioinformatics, George Washington University, Washington, DC, USA Elizabeth A. Thom Authors * Abbot R. Laptook View author publications You can also search for this author
inPubMed Google Scholar * Lina Chalak View author publications You can also search for this author inPubMed Google Scholar * Athina Pappas View author publications You can also search for
this author inPubMed Google Scholar * Alexis Davis View author publications You can also search for this author inPubMed Google Scholar * Pablo J. Sanchez View author publications You can
also search for this author inPubMed Google Scholar * Krisa P. Van Meurs View author publications You can also search for this author inPubMed Google Scholar * William Oh View author
publications You can also search for this author inPubMed Google Scholar * Ross Sommers View author publications You can also search for this author inPubMed Google Scholar * Seetha
Shankaran View author publications You can also search for this author inPubMed Google Scholar * Angelita M. Hensman View author publications You can also search for this author inPubMed
Google Scholar * Dwight J. Rouse View author publications You can also search for this author inPubMed Google Scholar * Scott McDonald View author publications You can also search for this
author inPubMed Google Scholar * Abhik Das View author publications You can also search for this author inPubMed Google Scholar * Ronald N. Goldberg View author publications You can also
search for this author inPubMed Google Scholar * Namasivayam Ambalavanan View author publications You can also search for this author inPubMed Google Scholar * Cynthia Gyamfi-Bannerman View
author publications You can also search for this author inPubMed Google Scholar * Elizabeth A. Thom View author publications You can also search for this author inPubMed Google Scholar *
Rosemary D. Higgins View author publications You can also search for this author inPubMed Google Scholar CONSORTIA EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN
DEVELOPMENT NEONATAL RESEARCH NETWORK (NRN) * Abbot R. Laptook * , Lina Chalak * , Athina Pappas * , Alexis Davis * , Pablo J. Sanchez * , Krisa P. Van Meurs * , William Oh * , Seetha
Shankaran * , Angelita M. Hensman * , Scott McDonald * , Abhik Das * , Ronald N. Goldberg * , Namasivayam Ambalavanan * & Rosemary D. Higgins EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE
OF CHILD HEALTH AND HUMAN DEVELOPMENT MATERNAL-FETAL MEDICINE UNITS (MFMU) NETWORK * Dwight J. Rouse * , Cynthia Gyamfi-Bannerman * & Elizabeth A. Thom CONTRIBUTIONS ARL, MD made
substantial contributions to the conception of the work, acquisition and interpretation of the data, drafting the manuscript, approved the submitted version and is personally accountable for
the manuscript. LC, MD made substantial contributions to the conception of the work, acquisition and interpretation of the data, drafting the manuscript, approved the submitted version and
is personally accountable for the manuscript. AP, MD made substantial contributions to the conception of the work, acquisition and interpretation of the data, drafting the manuscript,
approved the submitted version and is personally accountable for the manuscript. AD, MD made contribution to the acquisition of the data, editing the manuscript, approved the submitted
version and is personally accountable for the manuscript. PJS, MD made contribution to the acquisition of the data, editing the manuscript, approved the submitted version and is personally
accountable for the manuscript. KPVM made contribution to the acquisition of the data, editing the manuscript, approved the submitted version and is personally accountable for the
manuscript. WO, MD made substantial contributions to the conception of the work, interpretation of the data, editing the manuscript, approved the submitted version and is personally
accountable for the manuscript. RS, MD made substantial contributions to the conception of the work, interpretation of the data, editing the manuscript, approved the submitted version and is
personally accountable for the manuscript. SS, MD made substantial contributions to the conception of the work, interpretation of the data, review of the manuscript, approved the submitted
version and is personally accountable for the manuscript. AMH, PhD, RNC-NIC made contribution to the acquisition of the data, editing the manuscript, approved the submitted version and is
personally accountable for the manuscript. DJR, MD made substantial contributions to the conception of the work, interpretation of the data, review of the manuscript, approved the submitted
version and is personally accountable for the manuscript. SM, BS made substantial contributions to the conception of the work, interpretation of the data, analysis of the data, editing the
manuscript, approved the submitted version and is personally accountable for the manuscript. AD, PhD made substantial contributions to the conception of the work, interpretation of the data,
analysis of the data, editing the manuscript, approved the submitted version and is personally accountable for the manuscript. RNG, MD made contribution to the acquisition of the data,
editing the manuscript, approved the submitted version and is personally accountable for the manuscript. NA, MD made contribution to the acquisition of the data, editing the manuscript,
approved the submitted version and is personally accountable for the manuscript. CGB, MD made substantial contributions to the conception of the work, interpretation of the data, review of
the manuscript, approved the submitted version and is personally accountable for the manuscript. EAT, MD made substantial contributions to the conception of the work, interpretation of the
data, review of the manuscript, approved the submitted version and is personally accountable for the manuscript. RDH, MD made substantial contributions to the conception of the work,
interpretation of the data, review of the manuscript, approved the submitted version and is personally accountable for the manuscript. CORRESPONDING AUTHOR Correspondence to Abbot R.
Laptook. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing interests. ADDITIONAL INFORMATION PUBLISHER’S NOTE Springer Nature remains neutral with regard to
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ARTICLE Laptook, A.R., Chalak, L., Pappas, A. _et al._ The effects of betamethasone on the amplitude integrated EEG of infants born at 34- or 35-weeks gestation. _J Perinatol_ 42, 1615–1621
(2022). https://doi.org/10.1038/s41372-022-01415-4 Download citation * Received: 03 December 2021 * Revised: 21 April 2022 * Accepted: 13 May 2022 * Published: 26 May 2022 * Issue Date:
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