Skip to main content
SpringerLink
Log in

Adrenal Insufficiency

  • Chapter
  • First Online:
Consults in Obstetric Anesthesiology

  • 141 Accesses

Abstract

Adrenal insufficiency (AI) is a clinical syndrome in which the adrenal glands do not produce adequate amounts of glucocorticoids and possibly mineralocorticoids. Strategies for medical management that are safe for both mother and fetus will be presented. The anesthetic management of labor and delivery as well as operative deliveries will be discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Otta CF, de Mereshian PS, Iraci GS, de Pruneda MRO. Pregnancies associated with primary adrenal insufficiency. Fertil Steril. 2008;90(4):1199 e17–20.

    Article  Google Scholar 

  2. Albert E, Dalaker K, Jorde R, Berge LN. Addison’s disease and pregnancy. Acta Obstet Gynecol Scand. 1989;68(2):185–7.

    Article  CAS  Google Scholar 

  3. Ambrosi B, Barbetta L, Morricone L. Diagnosis and management of Addison’s disease during pregnancy. J Endocrinol Invest. 2003;26(7):698–702.

    Article  CAS  Google Scholar 

  4. Lindsay JR, Nieman LK. The hypothalamic-pituitary-adrenal axis in pregnancy: challenges in disease protection and treatment. Endocr Rev. 2005;26(6):775–99.

    Article  CAS  Google Scholar 

  5. Seaward PG, Guidozzi F, Sonnendecker EW. Addisonian crisis in pregnancy. Case report. Br J Obstet Gynaecol. 1989;96(11):1348–50.

    Article  CAS  Google Scholar 

  6. Yuen KC, Chong LE, Koch CA. Adrenal insufficiency in pregnancy: challenging issues in diagnosis and management. Endocrine. 2013;44(2):283–92.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesia, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada

    Catherine Traill & Stephen H. Halpern

Authors
  1. Catherine Traill
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Stephen H. Halpern
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Stephen H. Halpern .

Editor information

Editors and Affiliations

  1. Associate Professor, Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA

    Suzanne K. W. Mankowitz

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Traill, C., Halpern, S.H. (2018). Adrenal Insufficiency. In: Mankowitz, S. (eds) Consults in Obstetric Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-59680-8_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-59680-8_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-59679-2

  • Online ISBN: 978-3-319-59680-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation