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Should we give antenatal steroids to mothers pregnant > 34 weeks?


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Please read this article and then answer my questrions: Should we administer antenatal steroids to mothers preganat 34-37 weeks planned for elective CS?

Bastek JA, Sammel MD, Paré E, Srinivas SK, Posencheg MA, Elovitz MA.

Adverse neonatal outcomes: examining the risks between preterm, late preterm, and term infants. Am J Obstet Gynecol. 2008 Oct;199(4):367.e1-8.

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I would say No!

I am not sure if the morbidity associated with late preterm birth would would be worse compared to the possible side-effects of steriods (I mean long term effects, which we really know little about).

(And off-topic; we strongly advice obs&gyn and parents-to-be, to push "elective CS" to week 39 unless it is needed for special indications.

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