Indian Journal of Obstetrics and Gynecology Research
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN: 2394-2746
Online ISSN: 2394-2754
CODEN : IJOGCS
Indian Journal of Obstetrics and Gynecology Research (IJOGR) open access, peer-reviewed quarterly journal publishing since 2014 and is published under auspices of the Innovative Education and Scientific Research Foundation (IESRF), aim to uplift researchers, scholars, academicians, and professionals in all academic and scientific disciplines. IESRF is dedicated to the transfer of technology and research by publishing scientific journals, research content, providing professional’s membership, and conducting conferences, seminars, and award more...Case Report
Author Details :
Volume : 8, Issue : 2, Year : 2021
Article Page : 273-274
https://doi.org/10.18231/j.ijogr.2021.057
Abstract
Addison’s disease is a rare endocrine disorder. We present the management of a pregnant lady with Addison’s disease. She was managed jointly with the endocrinologists and the titrated dose of hydrocortisone and fludrocortisone dosage was regulated. Her antenatal care was uneventful and she had emergency caesarean section at 39 weeks in view of abnormal CTG. Her labour was appropriately covered with rescue steroids. However she went into hypotension immediately after delivery. She was resuscitated
and was managed further in ICU where high dose steroids were given. She made an uneventful recovery.
Key Messages: 1. Management of pregnancy with Addison’s disease is challenging but are often achieved with appropriate multidisciplinary management; 2. Patients with Addison’s disease tolerate pregnancy well if the replacement steroids are adjusted and monitored closely; 3. Labour and delivery need to be managed cautiously with adequate steroid replacement to ensure successful outcomes; 4. Differentials need to be considered when adequate steroid cover has been provided and still there is a picture of Addisonian crisis.
Keywords: Addison’s, Complications, Crisis, Pregnancy, Stress steroids
How to cite : Raman S , Prakruthi Kp, Vinutha G, Venkataram P , Management considerations in Addison’s disease complicating pregnancy. Indian J Obstet Gynecol Res 2021;8(2):273-274
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