PRIMARY HYPERPARATHYROIDISM AND PREGNANCY - ASPECTS OF NEONATAL MORBIDITY

Primary hyperparathyroidism has to be accused to cause serious morbidi ty during pregnancy not only on the maternal, but also on the fetal si de: the fetus is threatened by prematurity, dystrophy and an increased risk of stillbirth. Postpartually hypocalcaemia and tetany may be obs erved as the result of neonatal hypoparathyroidism caused by maternal and thus also fetal hypercalcaemia. We report the case of a 32-year-ol d pregnant woman suffering from a severe form of primary hyperparathyr oidism caused by an adenoma of the parathyroidea. The tumor was remove d 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 therapeu tical procedures that should be arranged individually by interdiscipli nary consulting depending on the degree of maternal disease and on the gestational age.