PREGNANCY-BIRTH Messages for December, 2001: Re: Hypopituitarism in pregnancy

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Re: Hypopituitarism in pregnancy

From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Fri, 14 Dec 2001 14:21:14 -0600 (CST)

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In reply to: anonymous@obgyn.net: "Hypopituitarism in pregnancy"

At Fri, 14 Dec 2001, anonymous@obgyn.net wrote: >
>Hello doctors. I have a complex question. I am currently 39weeks and five
>days pregnant. I wondered if anyone could answer a question for me. I was
>diagnosed as having hypopituitarism (secondary to pituitary necrosis) in
>1998. (aged 31yrs) I am now 34yrs old. I have since diagnosis been on
>replacement thyroxine 100microgrammes daily and hydrocortisone 10mg in the
>morning and 5mg in the evening. I had IVF treatment to achieve this pregnancy
>as I am normally ammenorrhic. So far my blood glucose, free thyroxine and
>random cortisol levels are said to be within normal limits. It has also been
>advised by my endocrinologist to cover my labour with intravenous
>hydrocortisone.

absolutely true

My blood pressure has been within normal limits, and I am >asymptomatic from the point of view of the hypopituitarism My questions are
>these -
>1. What problems would I expect my newborn to have from the endocrinologic
>point of view?

probalby none

>2. What tests if any should the baby have at birth ?

no more than the standard tests

>3. If these questions are mainly for the Paediatrician, could you please
>kindly tell me of a forum like yours where I can post messages relating to
>babies and children?

ParentSoup (parentsoup.com, I think) is a good spot

>4. Would I have problems with producing breast milk as I intend to breast
>feed my baby?

you'll have to try and see.

>Please kindly reply
>Many thanks

--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

author of "Your Over-35 Week-by-Week Pregnancy Guide"

**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
***private e-mails WILL NOT be answered***

Next message: M. Kelly Shanahan, MD, FACOG: "Re: Is 5 mm considered nuchal thickness?"
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