Dexamethasone has also been used during pregnancy as an off-label prenatal treatment for the symptoms of congenital adrenal hyperplasia (CAH) in female fetuses. CAH causes a variety of physical abnormalities, notably ambiguous genitalia in girls. Early prenatal CAH treatment has been shown to reduce some CAH symptoms, but it does not treat the underlying congenital disorder . This use is controversial: it is inadequately studied, only around one in ten of the foetuses of women treated are at risk of the condition, and serious adverse events have been documented.  Experimental use of dexamethasone in pregnancy for foetal CAH treatment was discontinued in Sweden when one in five cases suffered adverse events. 
Timing of Delivery
Sudden intrauterine fetal demise in the third trimesterof diabetic pregnancy is not uncommon. To avoid thisrisk, preterm delivery is recommended. But with this,respiratory distress syndrome (RDS) is likely to steroids for lung maturity or ß adreno receptor agonist to inhibit premature uterine contractionsare likely to induce adverse metabolic effects due to theirglycolytic, glycogenolytic and lipolytic effects. In thissituation, extra insulin may be required to maintaineuglycemia. Foetal demise can also occur due topreeclampsia, which can produce fetal hypoxia viadecreased uteroplacental perfusion. Some centres allowwomen with uncomplicated diabetes to go intospontaneous labor irrespective of the gestational age,but most still advocate delivery at 38 weeks as perinatalmortality and morbidity appear to increase after thistime. Induction at 38 weeks gestation may be slow orunsuccessful due to unfavourable conditions of thecervix but this has to be balanced against the poorlydefined and predictable risk of late intra uterine death,if pregnancy is allowed to continue more than 38 health may deteriorate suddenly, hence obstetricmanagement should not be rigid and each case needsindividual care and attention. Having a neonatologistsupport at the time of delivery is advisable.
Hi. I'm not pregnant but am asking a question on behalf of my daughter. She is being monitored very closely as we were told 4 weeks ago that baby is a "bit on the small side". She is 32 weeks 4 days pregnant & baby hasn't put any weight on/ grown since her last scan two weeks ago. She weighs . At her scan yesterday they also told her that her baby's lungs were under developed and she had a steroid injection with another planned for today. She has a elected for a planned c - section because she suffered pelvic & serious head injuries in a car crash years ago so the consultant is playing safe. I've read about steroid injections preventing early labour with some ladies but so far my daughter hasn't shown any sign of early labour. Just wondered if any one had had a similar issue but went on ti go full term & if the steroids worked etc
Sorry for the long post but we weren't even sure my daughter could conceive so everyday she carries my grand daughter is a little miracle. Zx