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Antenatal Corticosteroids to Reduce Neonatal Morbidity (RCOG Green-top 7) - Sonia Clark

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What are midwives doing about the Green-top 7 guideline published in Oct 2010 (http://www.rcog.org.uk/files/rcog-corp/GTG%207.pdf) which recommends ante natal steroids for women delivered before 38+6 by elective CS. Does anyone have any guidelines on how to handle this with Type 1, Type 2 and GDM on insulin as Sonia's trust deliver all their ladies on insulin at 38 weeks. This is causing problems with BG Levels/need for insulin infusion prior to delivery, especially with Type 1.
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