The role of antenatal corticosteroids in twin pregnancy

Twin pregnancy was associated with significantly higher rates of adverse neonatal and perinatal outcomes. One of the underlying causes is that twins are prone to preterm birth. Antenatal corticosteroids are widely used for reducing the incidence of neonatal respiratory distress syndrome initially an...

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Main Authors: Jie Zhu, Shuyue Li, Ying Zhao, Yu Xiong
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1072578/full
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author Jie Zhu
Jie Zhu
Shuyue Li
Shuyue Li
Ying Zhao
Ying Zhao
Yu Xiong
Yu Xiong
author_facet Jie Zhu
Jie Zhu
Shuyue Li
Shuyue Li
Ying Zhao
Ying Zhao
Yu Xiong
Yu Xiong
author_sort Jie Zhu
collection DOAJ
description Twin pregnancy was associated with significantly higher rates of adverse neonatal and perinatal outcomes. One of the underlying causes is that twins are prone to preterm birth. Antenatal corticosteroids are widely used for reducing the incidence of neonatal respiratory distress syndrome initially and other neonatal mortality and morbidities subsequently. As it is widely used as a prophylactic treatment for potential premature births, there remain controversies of issues relating to twin gestations, including window for opportunity, timing of use, repeat course, optimal administration-to-delivery intervals, dosage, and type of corticosteroid. Thus, we present a thorough review of antenatal corticosteroids usage in twin gestation, emphasizing the aforementioned issues and attempting to offer direction for future investigation and clinical practice.
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spelling doaj.art-044231f8cfd74510943fc15f2357b8e92023-02-02T05:40:48ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-02-011410.3389/fphar.2023.10725781072578The role of antenatal corticosteroids in twin pregnancyJie Zhu0Jie Zhu1Shuyue Li2Shuyue Li3Ying Zhao4Ying Zhao5Yu Xiong6Yu Xiong7Obstetrics and Gynecology Hospital, Fudan University, Shanghai, ChinaThe Shanghai Key Laboratory of Female Reproductive Endocrine-Related Diseases, Shanghai, ChinaObstetrics and Gynecology Hospital, Fudan University, Shanghai, ChinaThe Shanghai Key Laboratory of Female Reproductive Endocrine-Related Diseases, Shanghai, ChinaObstetrics and Gynecology Hospital, Fudan University, Shanghai, ChinaThe Shanghai Key Laboratory of Female Reproductive Endocrine-Related Diseases, Shanghai, ChinaObstetrics and Gynecology Hospital, Fudan University, Shanghai, ChinaThe Shanghai Key Laboratory of Female Reproductive Endocrine-Related Diseases, Shanghai, ChinaTwin pregnancy was associated with significantly higher rates of adverse neonatal and perinatal outcomes. One of the underlying causes is that twins are prone to preterm birth. Antenatal corticosteroids are widely used for reducing the incidence of neonatal respiratory distress syndrome initially and other neonatal mortality and morbidities subsequently. As it is widely used as a prophylactic treatment for potential premature births, there remain controversies of issues relating to twin gestations, including window for opportunity, timing of use, repeat course, optimal administration-to-delivery intervals, dosage, and type of corticosteroid. Thus, we present a thorough review of antenatal corticosteroids usage in twin gestation, emphasizing the aforementioned issues and attempting to offer direction for future investigation and clinical practice.https://www.frontiersin.org/articles/10.3389/fphar.2023.1072578/fullantenatal corticosteroidstwin pregnanciesrespiratory distress syndromecorticosteroidspreterm birth
spellingShingle Jie Zhu
Jie Zhu
Shuyue Li
Shuyue Li
Ying Zhao
Ying Zhao
Yu Xiong
Yu Xiong
The role of antenatal corticosteroids in twin pregnancy
Frontiers in Pharmacology
antenatal corticosteroids
twin pregnancies
respiratory distress syndrome
corticosteroids
preterm birth
title The role of antenatal corticosteroids in twin pregnancy
title_full The role of antenatal corticosteroids in twin pregnancy
title_fullStr The role of antenatal corticosteroids in twin pregnancy
title_full_unstemmed The role of antenatal corticosteroids in twin pregnancy
title_short The role of antenatal corticosteroids in twin pregnancy
title_sort role of antenatal corticosteroids in twin pregnancy
topic antenatal corticosteroids
twin pregnancies
respiratory distress syndrome
corticosteroids
preterm birth
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1072578/full
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