USE OF CALCIUM AND VITAMIN D IN PREGNANT WOMEN FOR THE TREATMENT OF OSTEOPOROSIS - A CLINICAL CASE
Keywords:
osteoporosis, pregnancy, bone mass, fractureAbstract
In the last period of pregnancy, calcium mobilization and bone resorption increase, and lactation requires an additional increase (9). These changes can lead to osteoporosis and fractures in young women. Pregnancy-related osteoporosis is a very rare condition. Its exact distribution, etiology and pathogenesis are unknown and no risk factors have been identified. More et al. (12) found that all markers of bone turnover increased during normal pregnancy and failed to reach baseline 12 months after birth. There is a greater prevalence of postpartum fractures in women with osteoporosis compared to healthy controls. This raises the hypothesis of the relationship of genetic factors in the etiology of this condition (6). The effect of pregnancy and lactation on the bone mass of young mothers (2, 5, 10, 11, 13, 18) has not been well evaluated. Compared to adult mothers, greater bone loss is observed in young women with early pregnancy up to 6 weeks postpartum (18) and 2 to 16 weeks breastfeeding. The aim is to present a clinical case of a pregnant woman with osteoporosis and the results of calcium and vitamin therapy D. Vitamin D is essential for bone calcium metabolism, low levels of vitamin D during pregnancy can impair calcium absorption and increase bone loss in the mother. Material and methods. A prospective clinical kick-off was performed on a 32-year-old first-born woman with complaints of back pain. Using bone X-ray absorptiometry, bone mineral density (BMD) was found to have a low T-score for the lumbar vertebrae L1-L4, the femoral neck and the femur. The woman was prescribed calcium (500 mg) and vitamin D (1000 IU) therapy daily for a period of 8 months. The results after the course of treatment show an improvement in bone density according to both measured scores, with better results being achieved in the lumbar vertebrae, while the recovery of bone density of the femur is slower
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