What is the purpose of using stress dose steroids during labor?

The purpose of using stress dose steroids during labor is primarily to prevent adrenal crisis in women who have conditions that may lead to inadequate adrenal function, especially those with a history of adrenal insufficiency or those who have been on long-term steroid therapy.

During times of significant physiological stress, such as labor and delivery, the demand for cortisol increases. Women who are adrenal insufficient may not be able to produce adequate amounts of cortisol in response to this increased demand, leading to the risk of adrenal crisis, which can manifest as severe hypotension, shock, and cardiovascular instability. Administering stress dose steroids ensures that these patients maintain sufficient levels of corticosteroids to support their body's physiological needs during this critical time.

This practice highlights the importance of managing hormonal levels adequately, especially in patients with known adrenal insufficiency, to prevent serious complications during labor.