Abstract
Endocrine emergencies in pregnancy are rare and are more likely to be missed in the absence of good obstetric care. Serious thyroid- and diabetes-related events in pregnancy are more common because of their higher prevalence in the normal population. Pituitary-, adrenal-, and parathyroid gland-related complications in pregnancy are now relatively rare. A high index of suspicion is needed for early diagnosis and treatment. A close liaison between an endocrinologist, maternal-fetal specialist, and intensivist is critical in optimizing both maternal and fetal outcomes.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Schnatz PF, Curry SL. Primary hyperparathyroidism in pregnancy: evidence-based management. Obstet Gynecol Surv. 2002;57:365–76.
Kelly TR. Primary hyperparathyroidism during pregnancy. Surgery. 1991;110:1028–34.
Croom RD, Thomas CG. Primary hyperparathyroidism during pregnancy. Surgery. 1984;96:1109–18.
Clarke D, Seeds JW, Cefalo RC. Hyperparathyroid crisis and pregnancy. Am J Obstet Gynecol. 1981;140:840–2.
Matthias GS, Helliwell TR, Williams A. Postpartum hyperparathyroid crisis: cases report. Br J Obstet Gynaecol. 1987;94:807–10.
Negishi H, Kobayashi M, Nishida R, et al. Primary hyperparathyroidism and simultaneous bilateral fracture of the femoral neck during pregnancy. J Trauma. 2002;52:367–9.
Hess HM, Dickson J, Fox HE. Hyperfunctioning parathyroid carcinoma presenting as acute pancreatitis in pregnancy. J Reprod Med. 1980;25:83–7.
Kristoffersson A, Dahlgren S, Lithner F, Jarhult J. Primary hyperparathyroidism in pregnancy. Surgery. 1985;97:326–30.
Shangold MM, Dor N, Welt SI, et al. Hyperparathyroidism and pregnancy: a review. Obstet Gynecol Surv. 1982;37:217–28.
Wagner G, Transhol L, Melchior JC. Hyperparathyroidism and pregnancy. Acta Endocrinol. 1964;47:549–64.
Central Brain Tumor Registry of the United States (CBTRUS). Statistical report: primary brain tumors in the US 1997–2001. Available at: http://www.cbtrus.org/. Accessed 8 Apr 2005.
Goluboff LG, Ezrin C. Effect of pregnancy on the somatotroph and the prolactin cell of the human adenohypophysis. J Clin Endocrinol Metab. 1969;29:1533–8.
Scheithauer BW, Sano T, Kovacs KT, et al. The pituitary gland in pregnancy: a clinicopathologic and immunohistochemical study of 69 cases. Mayo Clin Proc. 1990;65:461–74.
Rigg LA, Lein A, Yen SSC. Pattern of increase in circulating prolactin levels during human gestation. Am J Obstet Gynecol. 1977;129:454–6.
Elster AD, Sanders TG, Vines FS, Chen MYN. Size and shape of the pituitary gland during pregnancy and postpartum: measurement with MR imaging. Radiology. 1991;181:531–5.
Dinc H, Essen F, Demircy A, et al. Pituitary dimensions and volume measurements in pregnancy and postpartum: MR assessment. Acta Radiol. 1998;39:64–9.
Kupersmith MJ, Rosenberg C, Kleinberg D. Visual loss in pregnant women with pituitary adenomas. Ann Intern Med. 1994;121:473–7.
Rossi AM, Vilska S, Heinonen PK. Outcome of pregnancies in women with treated or untreated hyperprolactinemia. Eur J Obstet Gynecol Reprod Biol. 1995;63:143–6.
Musolino NRC, Bronstein MD. Prolactinomas and pregnancy. In: Bronstein MD, editor. Pituitary tumors and pregnancy. Norwell: Kluwer Academic Publishers; 2001. p. 91–108.
Molitch ME. Pregnancy and the hyperprolactinemic women. N Engl J Med. 1985;312:1364–70.
Liu C, Tyrrell JB. Successful treatment of a large macroprolactinoma with cabergoline during pregnancy. Pituitary. 2001;4:179–85.
Molitch ME. Clinical manifestations of acromegaly. Endocrinol Metab Clin North Am. 1992;21:597–614.
Herman-Bonert V, Seliverstow M, Melmed S. Pregnancy in acromegaly: successful therapeutic outcome. J Clin Endocrinol Metab. 1998;83:727–31.
Beckers A, Stevenaert A, Foidart J-M, et al. Placental and pituitary growth hormone secretion during pregnancy in acromegalic women. J Clin Endocrinol Metab. 1990;71:725–31.
Lindsay JR, Jonklass J, Oldfield EH, Nieman LK. Cushing’s syndrome during pregnancy: personal experience and review of the literature. J Clin Endocrinol Metab. 2005;90:3077–83.
Aron DC, Schnall AM, Sheeler LR. Cushing’s syndrome and pregnancy. Am J Obstet Gynecol. 1990;162(1):244–52.
Guilhaume B, Sanson ML, Villaud L, et al. Cushing’s syndrome and pregnancy: aetiologies and prognosis in 22 patients. Eur J Med. 1992;1:83–9.
Bevan JS, Gough MH, Gillmer MD, Burke CW. Cushing’s syndrome in pregnancy; the timing of definitive treatment. Clin Endocrinol Oxf. 1987;27:225–33.
Madhun ZT, Aron DC. Cushing’s disease in pregnancy. In: Bronstein MD, editor. Pituitary tumors and pregnancy. Norwell: Kluwer Academic Publishers; 2001. p. 149–72.
Brodsky JB, Cohen EN, Brown Jr BW, et al. Surgery during pregnancy and fetal outcome. Am J Obstet Gynecol. 1980;138:1165–7.
Sheehan HL, Davis JC. Pituitary necrosis. Br Med Bull. 1968;24:59–70.
Kelestimur F. Sheehan’s syndrome. Pituitary. 2003;6:181–8.
Feinberg E, Molitch M, Peaceman A. Frequency of Sheehan’s syndrome. Fertil Steril. 2005;84:975–9.
Sheehan HL. The neurohypophysis in post-partum hypopituitarism. J Pathol Bacteriol. 1963;85:145–69.
Osler M, Pedersen J. Pregnancy in a patient with Addison’s disease and diabetes mellitus. Acta Endocrinol. 1962;4:79–87.
O’Shaughnessy RW, Hackett KJ. Maternal Addison’s disease and fetal growth retardation: a case report. J Reprod Med. 1984;29(10):752–6.
Okawa T, Asano K, Hashimoto T, et al. Diagnosis and management of primary aldosteronism in pregnancy: case report and review of the literature. Am J Perinatol. 2002;19(1):31–6.
Crane MG, Andes JP, Harris JJ, et al. Primary aldosteronism in pregnancy. Obstet Gynecol. 1964;23:200–8.
Fujiyama S, Mori Y, Matsubara H, et al. Primary aldosteronism with aldosterone-producing adrenal adenoma in a pregnant woman. Intern Med. 1999;38(1):36–9.
Botchan A, Hauser R, Kutfermine M, et al. Pheochromocytoma in pregnancy: case report and review of the literature. Obstet Gynecol Surv. 1995;50(4):321–7.
Lyman DJ. Paroxysmal hypertension, pheochromocytoma, and pregnancy. J Am Board Fam Pract. 2002;15(2):153–8.
Cermakova A, Knibb AA, Hoskins C, et al. Post partum phaeochromocytoma. Int J Obstet Anesth. 2003;12(4):300–4.
Harper MA, Murnaghan GA, Kennedy L, et al. Phaeochromocytoma in pregnancy: five cases and a review of the literature. Br J Obstet Gynaecol. 1989;96(5):594–606.
Lenders JW, Pacak K, Eisnhofer G. New advances in the biochemical diagnosis of pheochromocytoma: moving beyond catecholamines. Ann N Y Acad Sci. 2002;970:29–40.
Ilias I, Pacak K. Current approaches and recommended algorithm for the diagnostic localization of pheochromocytoma. J Clin Endocrinol Metab. 2004;89(2):479–91.
Devoe LD, O’Dell BE, Castillo RA, et al. Metastatic pheochromocytoma in pregnancy and fetal biophysical assessment after maternal administration of alpha-adrenergic, beta adrenergic, and dopamine antagonists. Obstet Gynecol. 1986;68(Supll 3):S15–8.
Strachan AN, Claydon P, Caunt JA. Phaeochromocytoma diagnosed during labour. Br J Anaesth. 2000;85(4):635–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer India
About this chapter
Cite this chapter
Singh, A., Singh, S. (2016). Other Endocrine Emergencies in Pregnancy. In: Gandhi, A., Malhotra, N., Malhotra, J., Gupta, N., Bora, N. (eds) Principles of Critical Care in Obstetrics. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2686-4_14
Download citation
DOI: https://doi.org/10.1007/978-81-322-2686-4_14
Published:
Publisher Name: Springer, New Delhi
Print ISBN: 978-81-322-2684-0
Online ISBN: 978-81-322-2686-4
eBook Packages: MedicineMedicine (R0)