Diabetes insipidus and pregnancy

Cesarean section
Pregnancy
Diet
Birth
Type 1 and 2
The choice of the hospital
Insipidus
Symptoms, signs

 

diabetes insipidus and pregnancydiabetes Insipidus is a fairly rare disease. It is too large amount of urine (up to 14-15 litres per day) and increased thirst. This is due to primary deficiency of antidiuretic hormone (Central diabetes insipidus) or change the sensitivity of the kidney to ADH (in cases nephrogenic diabetes). It relates to chronic diseases, which can be found in children and in adults of both sexes. Treatment of Central diabetes insipidus carry out synthetic analogs of ADH, and nephrogenic options - diuretics. In addition, recommended to sharply restrict salt intake. Main goal — to achieve the status of a small lack of sodium in the body of the patient, thus reducing the osmotic load on the kidneys and increase re-absorption (suction) of sodium in the proximal tubule.

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diabetes Insipidus and pregnancy

As a rule, the disease in pregnant women with diabetes insipidus is more severe. The improvement is very rare. During the pregnancy in these women does not have any special features. Dose of medicines that delay fluid in the body, your doctor may gradually increase. Modern medicines do not have any negative impact on pregnancy or on the health of the fetus and newborn. In any case, a pregnant woman with this diagnosis it is necessary to regularly visit an endocrinologist in order to be carried out timely analysis of the results of clinical examinations and patient complaints.

Pregnant patients with this disease, it is necessary to conduct an oral glucose tolerance test (before 28 weeks). It will help to exclude gestational diabetes mellitus. The most important is this test in cases where the disease first manifested during pregnancy.

the observation is also due to the fact that in diabetes insipidus may reduce production of oxytocin, which can lead to weakening contractions during childbirth, the result of which may require urgent surgical intervention.

Studies have shown that the medications that doctors prescribe such women, breast-feeding a newborn do not have a dangerous effect on his body. That means that women with a diagnosis of diabetes insipidus can fully enjoy the happiness of motherhood.