EBCOG – THE ROLE OF ANTENATAL CORTICOSTEROIDS (ACS) IN IMPROVING NEONATAL OUTCOMES

A.Single course of antenatal corticosteroids is recommended

B.Multiple Rescue course of antenatal corticosteroids can be considered

C.Rescue course of antenatal corticosteroids is recommended

D.Single course of antenatal corticosteroids can be considered

E.Emergency caesarean section

F.Augmentation of labour

G.Expectant management

H.ACS+ tocolytics recommended

I.Rescue course of antenatal corticosteroids can be considered

J.ACS + tocolytics + MgSO4

K.Multiple Rescue course of antenatal corticosteroids is recommended

L.ACS + Expectant management

 1.A 33 Yr primigravida presents with pain abdomen at 28 weeks of gestation. On examination, pain is getting 2 contractions in 10 minutes and cervical os is 2 cm open. What is the best management option?

2.A 26yr multigravida at 20wks, admitted with pain abdomen, O/E uterine contractions +, on p/v 3cm dilated, membranes found bulging in vagina.

3.A 36yr primigravida at 33wks, with severe IUGR and AEDF noted on doppler. Decision of termination of pregnancy made. The patient had received single course of corticosteroids at 28 weeeks for preterm labour. What is the next best management?

4.A 38yr multigravida at 36wks, with preterm labour presents to the hospital in emergency. The patient had received single course of corticosteroids 8 days ago. What is the next best management?