Pregnancy Osteoporosis 4/5 (2)

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Osteoporosis may occur during pregnancy (pregnancy osteoporosis). Illustration: Anatomy & Physiology, Connexions Web site / Wikimedia. CC BY 3.0

Pregnancy and osteoporosis

Definition

Osteoporosis (osteoporosis) related to pregnancy is a rare but well-known condition. Most often, healthy women are affected during the last part of pregnancy or during the period when they are breastfeeding.

Disease Cause

  • During pregnancy, the structure of the fetus skeletal requires that large amounts of calcium (lime) are transferred from the pregnant skeleton
  • Milk production by breastfeeding drains the woman for calcium
  • However, it is unclear why some women develop severe osteoporosis related to pregnancy

Symptom

Suddenly, strong and persistent pain located to the spine in the last part of pregnancy or lactation

Medical examinations and diagnosis

Treatment

  • Calcium and vitamin D can be used throughout the pregnancy and during breastfeeding
  • Alendronate tablets are often used for osteoporosis, but should not be used during pregnancy and lactation
  • Teriparatide (Forsteo) may contribute to the development of the skeleton, but should not be used during pregnancy or lactation

Prognosis

New pregnancies occur in about one in three.

Literature


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