In this episode, Dr Diana Oprea (endocrinology fellow, Université de Montréal) presents a case of a 28 year-old woman, G2T1L1 30 weeks gestation with new onset rheumatoid arthritis arising during pregnancy. Dr Shital Gandhi (Obstetric Internist, University of Toronto) and Dr Dale Séguin (Rheum Ob, University of Ottawa) discuss work-up and management of rheumatoid arthritis during pregnancy and postpartum and discuss recommendations for stress-dose steroids at delivery.