Antenatal Corticosteroid Use in Twin Pregnancies: A Systematic Review and Meta-analysis - PubMed
3 hours ago
- #antenatal corticosteroids
- #systematic review
- #twin pregnancies
- Antenatal corticosteroid (ACS) exposure in twin pregnancies does not significantly reduce neonatal mortality.
- ACS does not reduce overall respiratory distress syndrome (RDS) in twins, but RCTs suggest a higher RDS risk.
- ACS is linked to increased risks of neonatal hypoglycemia, supplemental oxygen need, and NICU/special care unit admission.
- Gestational age analyses show consistent hypoglycemia risks across ages, but no clear benefit for mortality or RDS.
- Evidence certainty is moderate to low, requiring cautious interpretation of findings.