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  1. #1
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    Default Why don't they give steroids automatically for high risk early births?

    I have had all my kids early so far! I have had threatened labours with all of them from 27 weeks. I am now 20 weeks pregnant with number 4 and I want the hospital to just give me the doses of steroids whenever I hit the "viable pregnancy" mark so this baby doesn't miss out on them.

    They didn't give them to me last time when I told them I was in labour because they didn't believe me so my 32 weeker missed out!

    Is there a reason for cases like mine that they won't give them routinly?

  2. #2
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    They don't give them routinely because there are risks attached to the steroid injections. Where an early birth is suspected they will give them as the benefit outweighs the risk, but they won't do it routinely.

    Hope everything goes smoothly for you.

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    When giving steroids you can only have 1 "dose" normally two shots and they are most effective when administered within a 48 hour window prior to delivery with both shots separated by at least 12 hours.

    They don't as a general rule administer them as routine at viability because if they are given too far out from delivery then they are wasted kwim. I would have thought that if you have a history of going early then they would have some indicators of when to give them.

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    Plus the steroid effects only last about 7 days so you'd need repeated shots as studies show that if you deliver more than 7 days after the shot the baby doesnn't get the full benefit. Repeated shots (more than 2) have been found to reduce growth and brain development in the baby. Best to wait til you definitely need it.

    Good luck.


 

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