SHOCKING: ACSs INCREASE Risk in Twins? (Listen in)

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

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