Guideline for the use of antenatal corticosteroids for fetal maturation

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The aim is to present a document, which is based on current evidence and serves as a guideline for use in clinical practice. The following questions are addressed:

  • Is the use of antenatal corticosteroids (ACS) an effective therapy?

  • Who are the candidates for antenatal corticosteroid therapy?

  • Is there benefit after 34 weeks’ gestation?

  • When is the optimal time to treat?

  • Which are the optimal steroids; what is the ideal dose and route of administration?

  • Are there any contraindications to the administration of ACS?

  • Are antenatal corticosteroids indicated in women with premature rupture of membranes (PROM)?

  • Is the use of ACS recommended in pregnancies complicated by maternal diabetes mellitus?

  • Should the treatment with corticosteroids be repeated? 

 


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