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Endocrine emergencies in pregnancy.

M E Molitch

    Bailliere'S Clinical Endocrinology and Metabolism
    |January 1, 1992
    PubMed
    Summary

    Pregnancy alters endocrine conditions, impacting maternal and fetal health. Careful diagnosis and modified treatments are crucial for managing these complex endocrine emergencies during pregnancy.

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    Area of Science:

    • Endocrinology
    • Obstetrics
    • Maternal-Fetal Medicine

    Background:

    • Pregnancy significantly influences endocrine disorders, affecting both maternal and fetal well-being.
    • Unique physiological changes during pregnancy can alter the presentation and management of endocrine conditions.

    Purpose of the Study:

    • To review endocrine conditions and emergencies unique to pregnancy.
    • To highlight diagnostic and therapeutic modifications required for maternal-fetal safety.

    Main Methods:

    • Literature review of endocrine disorders in pregnancy.
    • Discussion of specific conditions including prolactinomas, Sheehan's syndrome, autoimmune disorders, Graves' disease, Cushing's syndrome, phaeochromocytomas, and hyperparathyroidism.

    Main Results:

    • Endocrine conditions like prolactinomas can enlarge, causing mass effects.
    • Autoimmune disorders show variable responses, while Graves' disease may flare, risking thyroid storm.
    • Cushing's syndrome, phaeochromocytomas, and severe hypercalcaemia represent critical endocrine emergencies.

    Conclusions:

    • Altered diagnostic and therapeutic strategies are essential for managing endocrine disorders in pregnant patients.
    • Prompt recognition and management of endocrine emergencies are vital for favorable maternal and fetal outcomes.

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