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Hypercalcaemia during pregnancy: Review of maternal and fetal complications, investigations, and management.
- Source :
-
Obstetric Medicine (1753-495X) . Dec2019, Vol. 12 Issue 4, p175-179. 5p. 1 Chart. - Publication Year :
- 2019
-
Abstract
- Introduction: Asymptomatic mild primary hyperparathyroidism is increasingly being identified during pregnancy. Recent studies have demonstrated inconsistent findings with regard to pregnancy complications and the need for surgical intervention during pregnancy. Method: A retrospective audit of outcomes of pregnancies complicated by hypercalcaemia over a 15-year period was performed. Results: Twenty-nine pregnancies to 26 women with hypercalcaemia were identified, corresponding to 37 cases per 100,000 deliveries. Hypercalcaemia was due to primary hyperparathyroidism in 90% of cases, with mean serum calcium of 2.89 mmol/l and mean ionised calcium 1.43 mmol/l. Four women underwent successful neck exploration during pregnancy. Pregnancy complications were limited to three cases of pre-eclampsia and one case of symptomatic neonatal hypoparathyroidism. Conclusion: Close observation without surgical intervention would seem reasonable in women with mild hypercalcaemia during pregnancy. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 1753495X
- Volume :
- 12
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Obstetric Medicine (1753-495X)
- Publication Type :
- Academic Journal
- Accession number :
- 140311892
- Full Text :
- https://doi.org/10.1177/1753495X18799569