Management of Hyperparathyroidism in Pregnancy with Oral Phosphate Therapy
作者:
MARTIN MONTORO,
JOSEPH COLLEA,
JORGE MESTMAN,
期刊:
Obstetrics & Gynecology
(OVID Available online 1980)
卷期:
Volume 55,
issue 4
页码: 431-434
ISSN:0029-7844
年代: 1980
出版商: OVID
数据来源: OVID
摘要:
Hyperparathyroidism during pregnancy is associated with greatly increased perinatal morbidity and mortality. Severe neonatal hypocalcemia and tetany is a particularly serious complication. Surgical removal of the abnormal parathyroid glands is currently recommended during pregnancy in view of the severity of the complications in the untreated patients and the favorable results in patients who have had surgery during pregnancy. Two patients are reported in whom surgery during pregnancy could not be performed. They were treated with oral phosphate, which successfully decreased serum calcium; their infants remained normocalcemic throughout the neonatal period. It is suggested that in selected cases medical treatment with oral phosphate can be an effective therapeutic alternative and surgery may be postponed until after delivery.
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