Perinatal Management and Outcomes of Pregnancy Following Sheehan Syndrome: A Case Report and Literature Review

Yongchi Zhan, Tingting Xu, Xiaodong Wang
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引用次数: 1

Abstract

Abstract Pregnancy is rare and difficult in Sheehan syndrome patients. With the help of assisted reproductive technology, the patients even with panhypopituitarism can get pregnant again. Moreover, women with hypopituitarism have increased risk of pregnancy complications. Here we report a patient who suffered acute and severe Sheehan syndrome with panhypopituitarism and central diabetes insipidus got pregnant again by in vitro fertilization and embryo transfer. A regular and careful antenatal care was given by the cooperation between obstetricians and endocrinologists. Finally, she delivered a healthy female baby at 37+6 weeks of gestation with Apgar scores of 10 and 10 at 1 and 5 minutes, respectively. The patient and her baby were doing well at postpartum follow-up. The related articles were also reviewed. This case report is aimed to help clinical practitioners to make better decisions on the management of Sheehan syndrome or other type of hypopituitarism during pregnancy.
Sheehan综合征后妊娠的围产期管理和结局:病例报告和文献综述
摘要妊娠在希恩综合征患者中是罕见且困难的。在辅助生殖技术的帮助下,即使是垂体功能减退症患者也可以再次怀孕。此外,患有垂体功能减退症的妇女发生妊娠并发症的风险增加。我们报告了一名患有急性和严重Sheehan综合征并伴有全垂体功能减退和中枢性尿崩症的患者通过体外受精和胚胎移植再次怀孕。产科医生和内分泌科医生之间的合作提供了定期和仔细的产前护理。最后,她在37+6时产下了一个健康的女婴 妊娠周,1分钟和5分钟时Apgar评分分别为10和10。患者和她的婴儿在产后随访中表现良好。还审查了相关文章。本病例报告旨在帮助临床从业者更好地决定妊娠期Sheehan综合征或其他类型的垂体功能减退症的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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