Endocrine Emergencies in Obstetrics.

Christopher G Goodier

Journal: Clinical obstetrics and gynecology 2020;62(2):339-346

PMID: 30882392

Abstract

Endocrine emergencies in pregnancy can be life threatening and are associated with increased morbidity for both the mother and fetus. Thyroid storm, diabetic ketoacidosis, and hypercalcemic crisis require a high clinical suspicion, rapid treatment, and multidisciplinary care to ensure best outcomes. Critical care consultation and intensive care unit admission are often warranted. Fetal testing may initially be concerning; however often improves with correction of the underlying metabolic derangement(s) and delivery is generally avoided until maternal status improves.

Address: Department of Obstetrics/Gynecology, Division of Maternal Fetal Medicine, Medical University of South Carolina, Charleston, South Carolina.

DOI: 10.1097/GRF.0000000000000433

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MeSH Terms: Antithyroid Agents, Diabetic Ketoacidosis, Emergencies, Female, Humans, Hyperparathyroidism, Patient Care Team, Pregnancy, Pregnancy Complications, Thyroid Crisis