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

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antenatal corticosteroids

Up to Antenatal Corticosteroids to Reduce Neonatal Morbidity (RCOG Green-top 7) - Sonia Clark
November 16. 2011
alison leyland

We have adopted the RCOG guidelines in Blackpool when  they were first introduced and it did cause alot of unnecessary admissions for women with diabetes. Now we have included in our guidelines the following policy:

Women on insulin and having a C/S prior to 38 + 6weeks have their insulin doses increased by 20 -30% for 48 hrs after first steroid injection on Maternity day unit. They have to be admitted if they have 3 consecutive blood glucose levels >11mmol/L for sliding scale insulin

Women with Type 1 diabetes admitted to antenatal ward for 24- 48 hrs and follow the same policy as above.

Women on diet control or Metformin are treated as out patient advised to continue normal activity and TCI if blood sugars >11 mmol/L on 3 consecutive occasions.

It works very well and the women prefer it. Very few women go onto sliding scale insulin and hardly any admissions.

Alison Leyland

Diabetes Specialist Midwife

Blackpool Teaching Hospitals

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