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Lancet 2021;397(10270):233-248.

Betnesol is betamethasone, a corticosteroid given by injection (NHS) Its main pregnancy use is to mature the baby's lungs before a preterm birth It is doctor-administered in hospital, never self-given Usual course: two 12 mg injections, 24 hours apart Best given between 24 and 34 weeks when preterm delivery is likely It reduces breathing problems, brain bleeds and newborn death in preterm babies (Cochrane) Maximum benefit is about 24 to 48 hours after the first dose Side effects are usually mild and temporary, and are monitored Betnesol is an Indian brand of betamethasone, a synthetic corticosteroid given as an injection (NHS) In pregnancy, it is used as an antenatal corticosteroid, a treatment given to the mother to help the unborn baby's lungs and organs develop faster before an early birth

Allow 2-4 weeks at each new dose to assess response before further adjustment