Optimising timing of steroid administration in preterm pre-eclampsia

•Antenatal steroids are an established intervention to improve outcomes in preterm birth.•Pre-eclampsia is a leading cause of iatrogenic preterm birth.•31% of women with pre-eclampsia delivering before 35 weeks’ gestation received optimally timed antenatal corticosteroids.•The largest group of mistimed steroids were those given more than seven days before delivery (49%).•Optimising steroid use in preterm pre-eclampsia may improve perinatal outcomes.