Topping J, Black A J, Farquharson R G, Fraser W D
Liverpool Women's Hospital.
Prof Care Mother Child. 1998;8(6):147-50.
Though uncommon, osteoporosis can occur in pregnancy or shortly after delivery. The most common feature is back pain, often severely disabling. Suspect osteoporosis if pain of sudden onset in the upper lumbar or thoracic spine is not relieved by simple analgesia, or if there is a noticeable loss of height. X-rays reveal low bone density and fractures of the vertebrae. 70% of cases occur in first pregnancies. Recurrence is unusual. Most cases resolve spontaneously; a minority cause disability lasting months or years. If osteoporosis is diagnosed, breast feeding should be discouraged because of its effect on bone mineral density. Anyone who has had osteoporosis of pregnancy is at risk of postmenopausal osteoporosis and should take medical advice.
虽然罕见，但骨质疏松症可在孕期或产后不久发生。最常见的症状是背痛，通常严重影响功能。如果上腰椎或胸椎突然疼痛，单纯使用镇痛药无法缓解，或者出现明显身高降低，应怀疑骨质疏松症。X线检查可发现骨密度降低和椎体骨折。70%的病例发生在首次妊娠时。复发情况不常见。大多数病例可自发缓解；少数病例会导致持续数月或数年的功能障碍。如果诊断为骨质疏松症，应避免母乳喂养，因为其会影响骨矿物质密度。任何曾患孕期骨质疏松症的人都有患绝经后骨质疏松症的风险，应寻求医疗建议。
