Management of inborn errors of metabolism during pregnancy

B J Clark1, F Cockburn

  • 1Department of Child Health, University of Glasgow, Scotland.

Insights

More women with inherited metabolic disorders are having children. This review covers risks and management strategies for maternal metabolic disorders during pregnancy and childbirth, focusing on key healthcare professional roles.

Area of Science:

  • Maternal-fetal medicine
  • Inherited metabolic disorders
  • Genetics and reproductive health

Background:

  • Increasing survival rates of women with inherited metabolic disorders.
  • Pregnancy in women with metabolic disorders poses risks to mother and child.
  • Need for specialized care during pregnancy, delivery, and neonatal periods.

Purpose of the Study:

  • To review the range of inherited metabolic disorders in pregnant women.
  • To outline risks associated with these disorders for maternal and infant health.
  • To discuss appropriate management strategies and multidisciplinary team roles.

Main Methods:

  • Literature review on maternal metabolic disorders.
  • Analysis of risks and outcomes in pregnancy.
  • Examination of management protocols and healthcare provider roles.

Main Results:

  • Highlights the growing population of women with metabolic disorders who are conceiving.
  • Identifies critical risks to maternal and fetal well-being.
  • Emphasizes the necessity of awareness and tailored management.

Conclusions:

  • Effective management requires understanding diverse metabolic disorders.
  • Multidisciplinary collaboration is crucial for optimizing outcomes.
  • Specific focus on the roles of pediatricians, obstetricians, and dietitians in managing Maternal Hyperphenylalaninaemia and phenylketonuria.

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