Background: The effect of antenatal betamethasone on fetal parameters inclu
des a transient reduction of FHR variation and of fetal body movements. An
effect on maternal-fetal blood flow has also been shown, with non-univocal
results. Aims: To evaluate the effect of antenatal betamethasone in third t
rimester singleton high-risk pregnancies by Doppler technology. Subjects an
d methods: Thirty-six pregnant women who received a full course of betameth
asone (12 mg i.m, two times, 24 h apart) were studied. The Doppler examinat
ion included the assessment of the pulsatility index (PI) of the umbilical
artery (UA PI), the middle cerebral artery (MCA PI) and of resistance index
of uterine arteries (Ut RI) before treatment, and 48 and 96 h after second
dose of betamethasone. Results: No significant variation was noted in UA P
I through betamethasone therapy. MCA PI decreased significantly 48 h from t
he last injection of betamethasone (P = 0.002), and returned to basal value
s at 96 h. No difference was found for the other Doppler parameters examine
d. When serial Doppler studies were analyzed according to the gestational a
ge, in the group < 32 weeks' gestation, MCA PI decreased significantly afte
r 48 h (P < 0.006) and returned to pre-treatment values after 96 h from the
last betamethasone dose. Conversely, no difference was found in Doppler se
rial measurements in any of the analyzed districts in the subgroup greater
than or equal to 32 weeks. Conclusion: Betamethasone treatment is associate
d with a significant, although transient, reduction of MCA PI, especially a
t gestational ages < 32 weeks'. (C) 2001 Elsevier Science Ireland Ltd. All
rights reserved.