Diabetes insipidus occurring in a patient with Sheehan’s syndrome during a gonadotropin-induced pregnancy

Barbieri, Robert L.; Randall, Rebecca W.; Saltzman, Daniel H.

doi:10.1016/s0015-0282(16)48926-0

Cited by 17 publications

(7 citation statements)

References 3 publications

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“…The increased risk of perinatal complications may be attributed to hormone deficiency because of Sheehan syndrome. Four of 32 pregnancies suffered PPH (12.50%), 8,9,12,25 five pregnancies had an abnormal fetal presentation (15.63%) 11,13,16,19 and one case of IUGR (3.13%) 28 were recorded in those articles (Summarized in Table 5). So close monitoring of maternal complications, fetal growth, and development are necessary during the whole pregnancy for Sheehan syndrome patients.…”

Section: Discussionmentioning

confidence: 99%

“…According to previous case reports, the delivery gestational age ranged from 32 weeks to 41 weeks in the 22 pregnancies, 14/22 cases (63.64%) delivered full-term. 6,[9][10][11][12][13][14][15][16][17][18][19]22,24,[26][27][28][29] In the 27 pregnancies which described the delivery mode, 15/27 (55.56%) pregnancies had a vaginal delivery 5,8,10,12,13,15,17,18,24,25,27 and 12/27 (44.44%) terminated by cesarean section. 6,7,9,11,14,16,19,25,28,29 Patients with panhypopituitarism or preexisting isolated central DI can get spontaneous delivery.…”

Section: Discussionmentioning

confidence: 99%

“…6,[9][10][11][12][13][14][15][16][17][18][19]22,24,[26][27][28][29] In the 27 pregnancies which described the delivery mode, 15/27 (55.56%) pregnancies had a vaginal delivery 5,8,10,12,13,15,17,18,24,25,27 and 12/27 (44.44%) terminated by cesarean section. 6,7,9,11,14,16,19,25,28,29 Patients with panhypopituitarism or preexisting isolated central DI can get spontaneous delivery. 31 Shinar's case series reported four patients with panhypopituitarism got spontaneous onset of delivery at term, but three of them suffered PPH.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, there were 24 papers 5–28 which we can get the full text and one conference abstract 29 published in English after 1950 related to pregnancy following Sheehan syndrome in Pubmed, Medline, Embase, and Google scholar. In the 25 papers and our case, there have been 27 patients with Sheehan syndrome and 32 pregnancies.…”

Section: Discussionmentioning

confidence: 99%

“…23 During pregnancy, the new onset of central DI in the third trimester was described in Barbieri's study. 16…”

Section: Referencesmentioning

confidence: 99%

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

Zhan

Wang

2021

Maternal-Fetal Medicine

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…23 During pregnancy, the new onset of central DI in the third trimester was described in Barbieri's study. 16…”

Section: Referencesmentioning

confidence: 99%

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

Zhan

Wang

2021

Maternal-Fetal Medicine

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Complete hydatidiform mole and a coexistent fetus following ovulation induction in a patient with Sheehan’s syndrome: a first case report and review of literature

Huang

Liang

Huang

et al. 2013

Arch Gynecol Obstet

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Pregnancy in Sheehan's syndrome (SS) is extremely rare. We present the first reported case of twin pregnancy with complete hydatiform mole (CHM) and a coexistent fetus (CHCF) in a patient with SS. A 29-year-old Chinese patient with SS became pregnant following one cycle of ovulation induction with human menopausal gonadotropin after secondary infertility. A normal live fetus and a low echogenic mass suspected hydatidiform mole (HM) were detected by ultrasound examinations at gestational week 8. The couple highly desired to continue the pregnancy because it is very hard to get pregnant for the patients with SS. However, the pregnancy was terminated for the size of the HM component increased rapidly at gestational week 15. Histological examinations confirmed CHCF. Genetic studies showed that the CHM genome was derived from paternal diploidy, and the normal fetus was from biparental genomes. Furthermore, a literature review on these topics is included. This case highlighted that even in a patient with SS, twin pregnancy with CHCF can still occur after ovulation induction.

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The Pituitary Gland in Pregnancy and the Puerperium

Carlson

2011

The Pituitary

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Diabetes insipidus occurring in a patient with Sheehan’s syndrome during a gonadotropin-induced pregnancy

Cited by 17 publications

References 3 publications

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

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

Complete hydatidiform mole and a coexistent fetus following ovulation induction in a patient with Sheehan’s syndrome: a first case report and review of literature

The Pituitary Gland in Pregnancy and the Puerperium

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