Betamethasone?

Hi ladies,

So here's the situation so far. I was started on Procardia last Monday due to some pretty strong and close together contractions that I was having. There has been no cervical change though so it is not defined as PTL. My OB feels very confident that all is well and that I'll be just fine, but personally I'm a little worried since I still have a lot of contractions even on the Procardia. I have this fear in the back of my mind about PTL and delivering early, and I'm only 32 weeks today. My OB and I discussed a round of steroids, although he is hesitant to recommend it as I am not technically in PTL. He said that he will give them to me if I want them though, and it sounds like in a technical sense that the potential benefits IF I went into PTL certainly outweight any risk associated with one round of steroids. At the same time if I don't go into PTL then I'm basically just taking on a small amount of risk for no good reason, aren't I?

Has anyone else had to make this decision? My gut feeling is to go ahead and have the steroids this week for the peace of mind that it will get us through to 34 weeks safely and then I would have no regrets if something suddenly happened and I delivered the babies without time to get the injections.

I'd also love to hear what everyone experienced with the Betamethasone shots. I have read some things about decreased fetal activity? Is this pretty standard? That is something that I know will freak me out too!

Please help

 

I got them at 28 weeks because I was going to be induced at 28 weeks if my Baby A did not improve from TTTS. I would get them if I were you. Good luck!

 

I got mine at 30 wks. I was not in PTL but one babe was IUGR and his dopplers weren't the greatest so we got it just in case. I had to deliver at 31 wks so I was happy I had them. I didn't experience any negative effects from the steriods and I couldn't find anything negative about getting them when I was looking for info on it.I would say that it is totally up to you. Best of luck

 

I had a round of steroids at 25 weeks, then again at week 30. I was never in PTL. All of my contractions were considered irritability since my cervix was at 0 cm. One thing to know about contractions is that the regularity of them matters, too, and not just the number and strength. I was on home monitoring (basically a NST at home for an hour twice a day). Random contractions weren't a big deal but when they started happening with predictable frequency, that's when the nurses would be concerned.

I don't recall any side effects from the steroid shots but I was on magnesium both times and slowed fetal movement is a side effect of that, too. They were sluggish but their heart beats were strong. If I were in your shoes, and the steroid shot would help give me some peace of mind, I would probably get it. The last thing you really want is to be stressed out if there's a way to prevent it. Those last weeks were the toughest of my life. It felt like time was crawling by and any little thing different with the babies would freak me out.

Procardia never really seemed to help much with my contractions. They would have to hit me with Terbutaline or do a Magnesium IV to really stop them. You can get Terbutaline (aka Brethine) as a pill for at home (maybe something to ask your doctor about?). It really did help keep my counts lower during the last month or so.

Good luck to you! It's all worth it!

 

Thanks so much for the great opinions and experience so far ladies!

I think you guys are confirming my gut feeling to go ahead and get the steroids as a precaution.

My contractions are more sporadic this week, but sometimes (usually when I spend more time on my feet, sitting, or in the car) they will be fairly consistent 7-8 mins apart for several hours which is when I start to worry! IT's hard to be reassured even though the doctor isn't super worried. He basically says that since this has been happening for a few weeks w/ no cervical change that we essentially consider it "normal" for my uterus (he also called it irritable) so now we are just looking out for something different than what's already happening in order to be concerned.

Anyways...thanks again and keep the recommendations coming please! I will be getting my first shot on Thursday if I decide for sure to go through with it.

One more question...do they monitor you at all after getting the shots or do they just send you right home?

 

I didn't realize there were any risks involved with getting the steroid shots? :unsure:


I got them at 24w and truly believe they helped my two, even 20 days later. :good: I didn't have any side effects. I would definitely get them if there is any kind of worry of PTL.

 

There really aren't any risks. The only caution is that they are most effective one week after they are administered...so if you take them very early, some people do a second series. Most docs won't give them at all after 33 weeks or so.

i will be getting them next week (at 24 weeks). The probably a second series closer to 30 weeks.

They used to give them weekly, until they realized that weekly steroid shots probably weren't the best idea. There is even debate if two series has any benefit...but for those who receive shots so early, two may have some additional benefit.

 

I would get them as a precaution. I had a round at 24 weeks when I went into PTL, and again at 28 weeks when I went into PTL again. I didnt notice any decrease in their movements, I am begining to think NOTHING will slow them down. They even move during contractions. The only side effects I had from the shots were increase blood sugar, which is very normal and common with any steroid, increased heart rate, and hot flashes. Good luck

 

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