Author Affiliation: Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md.
Changes in management regarding care of neonates resemble the swings
of a pendulum. As the force of gravity keeps a pendulum from swinging too
far, continuing medical research keeps management from becoming too extreme.
Research permits evaluation of the risks and benefits of a particular treatment,
advancing knowledge to refine the risk-benefit ratio and alter clinical care.
Unfortunately, despite apparently proper research protocols, physicians do
not always correctly understand risks and benefits regarding any specific
issue. Therefore, occasionally the recommended management may become transiently
out of phase with the ultimate "best practice."
Lawson EE. Antenatal Corticosteroids—Too Much of a Good Thing?. JAMA. 2001;286(13):1628-1630. doi:10.1001/jama.286.13.1628