Re: Corticoids in pegnancy

From: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU)
Wed Apr 17 07:38:45 1996


I think the standard here in the U.S. is to give betamethasone if you even think about it. I have heard of many theoretical side effects, but I am not aware of any good reason not to give it. It has been shown to be beneficial in decreasing pulmonary morbidity and intraventricular hemorrhage when given between 28 and 32 weeks. Most neonatologists that I know would like to have steroids given up to 35 weeks because of those effects. Theoretically, steroids should not be of any help if given before 24 weeks but who Knows (The Shadow) ?

IMHO, steroids are like rh immune globulin; i.e. if you think about it, then its probably indicated. I usually give them even if mother is in labor. It has been shown to have effects within 24 hours. Who knows how long labor will last and sometimes we can even slow it down that long with our medications.

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R.Daniel Braun,MD "Money is honest. If a man speaks Clinical Professor of his honor, make him pay cash." Indiana U. School of Medicine Lazarus Long

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