
SHOCKING: ACSs INCREASE Risk in Twins? (Listen in)
From Dr. Chapa’s OBGYN Clinical Pearls by Dr. Chapa’s Clinical Pearls
June 8, 2026 · 16 min
About this episode
This episode discusses the conflicting recommendations regarding antenatal corticosteroid use in twin pregnancies based on recent research.
In the ACOG PB 231, Multifetal Gestations Twin Triplet and Higher-Order Multifetal Pregnancies, it states, “based on the improved outcomes reported in singleton gestations, the National Institutes of Health recommends that, unless a contraindication exists, a course of antenatal corticosteroids should be administered to all patients who are at risk of delivery within 7 days and who are between 24 weeks and 34 weeks of gestation, irrespective of the fetal number”. But a BRAND NEW meta-analysis is saying the exact opposite- with a catch. Listen in for details. 1. ACOG PB 231 2. Felippe, Carolina Alves MS; Ruiz, Sinrraim dos Santos Chaves MD; de Souza, Rebeca Ferreira MS; de Lima, Aliny Silva MS; dos Santos, Priscila Luiza MS; Fonseca, Pandora Eloa Oliveira MS; de Almeida Silva, Ingryd MS; Montes-de-Oca-Saucedo, Carlos Roberto MD; Santana, Ana Cecília Oliveira MS; Veta Darkovski, Jasmina MD; Matlaw, Hadas Rachel MD; Fonseca Queiroz, Laura MD. Antenatal Corticosteroid Use in Twin Pregnancies: A Systematic Review and Meta-analysis. Obstetrics & Gynecology ():10.1097/AOG.0000000000006344, June 4, 2026. | DOI: 10.1097/AOG.0000000000006344 16% OFF TONA ACTIVE WEAR PROMO…
People in this episode
Host: Dr. Chapa
Topics covered
- Antenatal corticosteroids
- Twin pregnancies
- Meta-analysis
- ACOG guidelines
- Multifetal gestations
Keywords
- ACOG PB 231
- Antenatal corticosteroids
- twin pregnancies
- meta-analysis
- obstetrics
Sponsors
TONA ACTIVE WEAR
Mentioned in this episode
Organizations: ACOG, National Institutes of Health
Books & works: Antenatal Corticosteroid Use in Twin Pregnancies: A Systematic Review and Meta-analysis
More episodes of Dr. Chapa’s OBGYN Clinical Pearls
- 2026 Lp(a), AHA, and OBG: What Now? · June 12, 2026 · 27 min
- CS: UT in or UT out? New July 2026 Data · June 10, 2026 · 15 min
- 5mm v 1-cm Fascial Closure at CS: MINI EPISODE · June 6, 2026 · 3 min
- NIPT CONFIRM Test SPECIAL GUEST: Blurring the Line between Screening & Confirmation of Fetal Aneuploidy · June 5, 2026 · 23 min
- OB, ED, and STDs: Gaps Noted! · June 3, 2026 · 14 min
- When to Best Deliver With a Uterine "Window" · June 2, 2026 · 2 min
Explore listener stats, chart rankings, contacts and more on the Dr. Chapa’s OBGYN Clinical Pearls podcast page.