Endocrine Unit and Diabetes Center, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Third Department of Cardiology, Sotiria Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Endocrine. 2023 Apr;80(1):10-19. doi: 10.1007/s12020-022-03237-y. Epub 2022 Nov 3.
Endocrinopathies during pregnancy constitute a challenging issue, being prevalent and requiring appropriate management to avoid maternal and fetal complications. This review aims to summarize and present major endocrine problems during pregnancy, the appropriate screening, maternal monitoring and management, fetal monitoring, and follow-up. Glucose metabolism, thyroid function, as well as calcium and vitamin D metabolism are the main endocrine domains that should be screened and monitored during pregnancy. Gestational diabetes mellitus (GDM) is the most prevalent endocrine disease during pregnancy, followed by thyroid disorders. Specific recommendations are provided for the optimal clinical care of pregnant women and their offspring for GDM, thyroid disorders, and calcium and vitamin D disorders.
孕期内分泌疾病是一个极具挑战的问题,其较为常见,需要进行适当的管理,以避免母婴并发症。本综述旨在总结并阐述孕期主要的内分泌问题,包括适当的筛查、母体监测和管理、胎儿监测以及随访。糖代谢、甲状腺功能以及钙和维生素 D 代谢是孕期需要筛查和监测的主要内分泌领域。妊娠期糖尿病(GDM)是孕期最常见的内分泌疾病,其次是甲状腺疾病。针对 GDM、甲状腺疾病以及钙和维生素 D 疾病,本综述为孕妇及其后代的最佳临床护理提供了具体建议。