Betamethasone

Pregnancy & gynaecology-specific. Every dose row is source-referenced; verify against institutional protocols.

BetamethasoneCorticosteroid

Regimens checked: 2026-10-17. Each indication has its own preparation, limits and safety checks.

Betamethasone: indication-specific regimens
Indication	Dose	Route	Frequency	Duration / preparation	Maximum	Monitoring / cautions
Imminent preterm birth within the guideline gestational window; do not delay urgent maternal/fetal delivery WHOsummary checked	12 mg IM, then 12 mg IM 24 hours later	IM	Two doses, 24 h apart	One 24 mg course. Consider only ONE repeat course under NICE criteria; not routine weekly courses · Confirm product strength: for 6 mg/mL, 12 mg = 2 mL; volumes differ by formulation. Use the obstetric IM preparation NICE offers at 24+0–33+6 weeks, considers 34+0–35+6; individual discussion at 22+0–23+6. Repeat: <34 weeks, prior course >7 days ago and very high risk of birth in 48 h.	24 mg/course; NICE permits no more than 2 courses in total under its repeat-course criteria	Monitor Glucose monitoring and an insulin-adjustment plan in diabetes; assess infection and timing of birth Contraindications / cautions Do not delay lifesaving delivery to complete steroids; do not use a blanket “infection contraindication” without senior assessment

Pregnancy safety

Benefit-proven; hyperglycaemia plan in diabetes

Lactation

Compatible