OBJECTIVE To evaluate antenatal corticosteroids (ANS) use in pregnant women with hypertension. STUDY DESIGN Retrospective analysis of ANS use in the Perinatal Quality Collaborative of North Carolina between 2015 and 2017. RESULTS Twenty-five centers participated, with 9% (1580/17,692) of mothers delivering at <34 weeks; of these, 81% (1286/1580) received a full course of ANS, which was not different between phases (p = 0.32), or between Level III/IV neonatal intensive care units (NICUs; 82%), and I/II NICUs (76%) (p = 0.05). In Level III/IV NICUs, White mothers were more likely to receive ANS (87%) than African Americans (77%) or other race/ethnicity (80%) (including Hispanics) (p = 0.001). ANS use did not differ among mothers with different payers (p = 0.94). CONCLUSION The rates of full ANS courses did not significantly increase from 2015-2017 and disparities persisted. Targeted efforts to improve ANS exposures among hypertensive African American and Hispanic mothers, as well as in community hospital settings are needed.

中文翻译：

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北卡罗来纳州高血压女性的产前皮质类固醇使用差异。

目的评估高血压孕妇的产前糖皮质激素（ANS）使用情况。研究设计回顾性分析了2015年至2017年间北卡罗来纳州围产期质量合作组织使用ANS的结果。结果有25个中心参加，其中9％（1580 / 17,692）的母亲分娩时间少于34周。其中，有81％（1286/1580）接受了全程ANS，这在两个阶段之间（p = 0.32）或在III / IV级新生儿重症监护病房（NICUs; 82％）和I / II之间没有差异新生儿重症监护病房（76％）（p = 0.05）。在III / IV级重症监护病房中，白人母亲比非裔美国人（77％）或其他种族/民族（80％）（包括西班牙裔）接受ANS的可能性更高（87％）（p = 0.001）。在付款人不同的母亲中，ANS的使用没有差异（p = 0.94）。结论从2015年到2017年，完整的ANS课程的比率没有显着增加，并且差距仍然存在。需要有针对性的努力，以改善高血压的非洲裔美国人和西班牙裔母亲以及社区医院中的ANS暴露。