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Antenatal corticosteroids accelerate fetal lung maturation and reduce neonatal respiratory morbidity when preterm birth is likely within the recommended treatment window. Randomized trials have shown reductions in respiratory distress syndrome, intraventricular hemorrhage and neonatal mortality in appropriate gestational-age groups. For obstetric teams, the key is identifying women at genuine risk of delivery rather than giving steroids indiscriminately. Treatment should be coordinated with decisions about transfer, magnesium sulfate when indicated and timing of delivery. The intervention is a core component of high-risk obstetric care because it is inexpensive, time-sensitive and highly effective when correctly deployed.
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Antenatal corticosteroids accelerate fetal lung maturation and reduce neonatal respiratory morbidity when preterm birth is likely within the recommended treatment window. Randomized trials have shown reductions in respiratory distress syndrome, intraventricular hemorrhage and neonatal mortality in appropriate gestational-age groups. For obstetric teams, the key is identifying women at genuine risk of delivery rather than giving steroids indiscriminately. Treatment should be coordinated with decisions about transfer, magnesium sulfate when indicated and timing of delivery. The intervention is a core component of high-risk obstetric care because it is inexpensive, time-sensitive and highly effective when correctly deployed.
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