Re: Steroids for maturation

From: Andrew Folley (agfolley@hotmail.com)
Thu May 17 12:23:13 2007


I am thinking along the same lines, dan. I like the idea of giving that second series of steroids when delivery seems iminent prior to 32 or 34 weeks. I try never to let the facts or data confuse my decision making. agf

>From: "R. Daniel Braun" <rd.braun@gmail.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Steroids for maturation
>Date: Thu, 17 May 2007 08:42:52 -0500
>
>I come encumbered by no data, but I have always used a rescue dose if
>possible after the 7 day time period.
>There are no studies showing htat to be harmful. The only thing shown to be
>harmful was giving weekly injections of steroids from now to 34 weeks.
>
>Dan
>
>On 5/17/07, Andrew Folley <agfolley@hotmail.com> wrote:
>>
>>Anyone aware if patients receiving steroids before 28 weeks if their
>>babies
>>do better with respect tor RDS etc verses moms that do not receive
>>steroids
>>IF more than 7 days have elapsed. In other words sterioids are great
>>after
>>48 hours and within 7 days of birth. What about when mom delivers 2, 3 or
>>4
>>weeks later? I am truying to make an argument for pushing that 2nd cycle
>>of steroids if delivery seems iminent evne if they already had one cycle
>>of
>>steroids.
>> >
>>
>
>--
>R. Daniel Braun, MD FACOG(L) CMT
>Professor Emeritus
>Dept. of Obstetrics and Gynecology
>Indiana U. School of Medicine
>
>R. Daniel Braun
>
> "The way to health is an aromatic bath and scented massage
>everyday".
> Hippocrates

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