학술논문
[Primary hyperparathyroidism and pregnancy. Aspects of neonatal morbidity].
Document Type
Academic Journal
Author
Peschgens T; Kinderklinik, RWTH Aachen.; Stollbrink-Peschgens C; Merz U; Schneider B; Maurin N; Kutta T; Hörnchen H
Source
Publisher: Enke Country of Publication: Germany NLM ID: 0326205 Publication Model: Print Cited Medium: Print ISSN: 0300-967X (Print) Linking ISSN: 0300967X NLM ISO Abbreviation: Z Geburtshilfe Perinatol Subsets: MEDLINE
Subject
Language
German
ISSN
0300-967X
Abstract
Primary hyperparathyroidism has to be accused to cause serious morbidity during pregnancy not only on the maternal, but also on the fetal side: the fetus is threatened by prematurity, dystrophy and an increased risk of stillbirth. Postpartually hypocalcaemia and tetany may be observed as the result of neonatal hypoparathyroidism caused by maternal and thus also fetal hypercalcaemia. We report the case of a 32-year-old pregnant woman suffering from a severe form of primary hyperparathyroidism caused by an adenoma of the parathyroidea. The tumor was removed in the 34. week of pregnancy. Six weeks later the patient delivered a healthy boy (birth weight 3450 g). A survey is given of the therapeutical procedures that should be arranged individually by interdisciplinary consulting depending on the degree of maternal disease and on the gestational age.