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

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

From Dr. Chapa's OBGYN No Spin Podcast by Hector Chapa

June 8, 2026 · 16 min

About this episode

This episode discusses the conflicting recommendations regarding antenatal corticosteroid use in twin pregnancies based on a new meta-analysis.

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: Hector Chapa

Topics covered

  • Antenatal corticosteroids
  • Twin pregnancies
  • Meta-analysis
  • Obstetrics
  • ACOG guidelines

Keywords

  • twin pregnancies
  • antenatal corticosteroids
  • ACOG PB 231
  • meta-analysis
  • obstetrics

Sponsors

TONA ACTIVE WEAR

Mentioned in this episode

Organizations: National Institutes of Health, ACOG

Books & works: Antenatal Corticosteroid Use in Twin Pregnancies: A Systematic Review and Meta-analysis

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