Cervical Weakness & Steroid Injections: Understanding Your Pregnancy

Question
I have had a history of problems with my cervix, but found getting pregnant not an issue and until now have had no complications. However, after having an ultrasound and seeing my Obstetrician regarding this, I have learned that my cervix may not be able to hold the remainder of the pregnancy as my baby's head is already resting upon it. So my obstetrician told me to get a couple of steroid injections "just in case" the baby arrives early, so the lungs have a chance to develop a little more. I have read on the internet that these steroids can result in the baby having behavioural problems. Is this likely? I have only had one injection so far - can I refuse the 2nd injection?

Answer
I have trouble understanding why your doctor recommended the steroid shots without some evidence of cervical dilation or contractions showing an impending miscarriage or preterm birth.  It would be extremely rare for you not to have at least 24 hours of warning to get those injections in if they were truly needed.  Yes, they do carry risks and should not be used lightly.  Studies have shown an increase in learning disabilities and behavioral problems in children whose mothers received steroids prior to birth.  You absolutely have the right to refuse the second injection if you don't want it; you always have the right to refuse any treatment or intervention you do not want.  I would recommend opening a conversation with your doctor first, though, to find out exactly why he felt the injections were necessary and what studies back up his opinion.  Babies' heads are supposed to rest on the cervix, that's the normal position, so something just doesn't sound right to me.