Dexamethasone for postoperative nausea and vomiting prophylaxis in cesarean delivery and a delayed diagnosis of neonatal congenital adrenal hyperplasia

Int J Obstet Anesth. 2024 Feb:57:103969. doi: 10.1016/j.ijoa.2023.103969. Epub 2023 Dec 13.


The case of a false-negative newborn screen for congenital adrenal hyperplasia in a 37 weeks' gestation 46,XX neonate, thought to be due to maternal administration of dexamethasone intra-operatively prior to umbilical cord clamping, for postoperative nausea and vomiting prophylaxis after neuraxial anesthesia, is described.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Hyperplasia, Congenital* / complications
  • Adrenal Hyperplasia, Congenital* / diagnosis
  • Adrenal Hyperplasia, Congenital* / drug therapy
  • Antiemetics* / therapeutic use
  • Cesarean Section
  • Delayed Diagnosis
  • Dexamethasone / therapeutic use
  • Female
  • Humans
  • Infant, Newborn
  • Postoperative Nausea and Vomiting / drug therapy
  • Postoperative Nausea and Vomiting / prevention & control
  • Pregnancy


  • Dexamethasone
  • Antiemetics