Postnatal Steroid Administration

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This toolkit is directed toward decreasing chronic lung disease among very low birth weight infants.  It is designed as an all-inclusive package that promotes best practice at the hospital level, based upon hospital-specific data.  This toolkit differs from the other three toolkits in that it is not promoting an action but promoting abandonment.

Post-natal steroids for the treatment of chronic lung disease, and more recently for the treatment of hypotension, has been one of the hotly debated areas of neonatal practice for the last 20 years.  They have profound effects on pulmonary and cardiovascular status, multiple acute side effects, and the potential to have serious adverse effects on long-term outcome.  They have been widely studied, and new data continues to emerge on their use.
The California Perinatal Quality Care Collaborative (CPQCC) is pleased to announce the release of the 2009 Revision of the Postnatal Steroid (PNS) Toolkit.  This updated toolkit contains a brief review of the literature on use of PNS in infants, and an outline for how to use this literature and your NICUs CPQCC/VON data for Quality Improvement.  This toolkit, like all of the CPQCC toolkits can be accessed at no cost from the CPQCC website at