Antenatal steroids guidelines acog

Hi. I'm not pregnant but am asking a question on behalf of my daughter. She is being monitored very closely as we were told 4 weeks ago that baby is a "bit on the small side". She is 32 weeks 4 days pregnant & baby hasn't put any weight on/ grown since her last scan two weeks ago. She weighs . At her scan yesterday they also told her that her baby's lungs were under developed and she had a steroid injection with another planned for today. She has a elected for a planned c - section because she suffered pelvic & serious head injuries in a car crash years ago so the consultant is playing safe. I've read about steroid injections preventing early labour with some ladies but so far my daughter hasn't shown any sign of early labour. Just wondered if any one had had a similar issue but went on ti go full term & if the steroids worked etc
Sorry for the long post but we weren't even sure my daughter could conceive so everyday she carries my grand daughter is a little miracle. Zx

As the condition is more prevalent in black women in the US and the UK, it has been suggested to be an explanation for the higher rate of preterm birth in these populations. It is opined that bacterial vaginosis before or during pregnancy may affect the decidual inflammatory response that leads to preterm birth. The condition known as aerobic vaginitis can be a serious risk factor for preterm labor; several previous studies failed to acknowledge the difference between aerobic vaginitis and bacterial vaginosis, which may explain some of the contradiction in the results. [63]

The responsible use of oxygen should also be promoted at all levels. Adequate monitoring is essential, especially in the premature infant <32 weeks gestation and <1 500g birth weight, as these infants are at an increased risk for retinopathy of prematurity (ROP), a leading cause of blindness in children. The second Benefits of Oxygen Saturation Targeting trial (BOOST II) recently reported that lower saturations of 85 - 89%, which reduce the risk of ROP, had a significantly higher rate of death than saturations of 91 - 95%. 9

REFERENCES:
Committee Opinion Committee on Obstetric Practice Number 210, October 1998 Antenatal Corticosteroid Therapy for Fetal Maturation
2. NIH Consensus Statement Effect of Corticosteroids for Fetal Maturation on Perinatal Outcomes1994 Feb 28-Mar 2;12(2):1-24
3. Morrison JC, Whybrew WD, Bucovaz ET, Schneider JM. Injection of corticosteroids into mother to prevent neonatal respiratory distress syndrome. Am J Obstet Gynecol 131:358,1978. MEDLINE
4. Morrison JC, Schneider JM, Whybrew WD, Bucovaz ET. Effect of corticosteroids and Fetomaternal disorders on the L:S ratio. Obstet Gynecol 56:583, 1980 MEDLINE Please review the Disclaimer before using this site. Copyright © 2000-2008 by Focus Information Technology.
All rights reserved.
Created: 11/30/2002
Update: 11/30/2002
Update: 4/15/2008

Antenatal steroids guidelines acog

antenatal steroids guidelines acog

REFERENCES:
Committee Opinion Committee on Obstetric Practice Number 210, October 1998 Antenatal Corticosteroid Therapy for Fetal Maturation
2. NIH Consensus Statement Effect of Corticosteroids for Fetal Maturation on Perinatal Outcomes1994 Feb 28-Mar 2;12(2):1-24
3. Morrison JC, Whybrew WD, Bucovaz ET, Schneider JM. Injection of corticosteroids into mother to prevent neonatal respiratory distress syndrome. Am J Obstet Gynecol 131:358,1978. MEDLINE
4. Morrison JC, Schneider JM, Whybrew WD, Bucovaz ET. Effect of corticosteroids and Fetomaternal disorders on the L:S ratio. Obstet Gynecol 56:583, 1980 MEDLINE Please review the Disclaimer before using this site. Copyright © 2000-2008 by Focus Information Technology.
All rights reserved.
Created: 11/30/2002
Update: 11/30/2002
Update: 4/15/2008

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