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Obstetrical#medications#preterm#antepartumPGY 1/2/3/4

Betamethasone / ALPS / Rescue Course Reference

Steroid course windows, rescue criteria, ALPS counseling, contraindications.

Source: OB Days handoff

Initial course:

  • Single course for all women between 23w6 and 33w6 (earlier GA needs NICU discussion about resuscitative plans).
  • BMZ 12 mg q24h for two doses.

Rescue course:

  • Single rescue course allowed between 24w0d and 33w6d if last course was more than 14 days ago.

ALPS:

  • Single course between 34w0d and 36w6.
  • Contraindications: pre-gestational maternal diabetes, chorio, prior steroids in pregnancy (no rescue).

See also: Preterm Labor: Steroids, GBS, Mag Neuroprotection, Tocolysis and PPROM: Exam Rules, Latency Antibiotics, Counseling.

Referenced by handoffs