Multidisciplinary approach in medicine: successful pregnancy in a patient with hyperinsulinism/hyperammonaemia (HI/HA) syndrome.
This case illustrates the importance of multidisciplinary counselling and management of pregnancies in women with complex medical conditions, especially concerning women with cognitive impairment. We present a woman with hyperinsulinism/hyperammonaemia (HI/HA) syndrome. This syndrome is characterised by recurrent episodes of hypoglycaemia and elevated ammonia levels, which are potentially harmful to both the patient and a developing fetus. We describe a successful multidisciplinary approach during the pregnancy of a mentally challenged patient with HI/HA syndrome. This case illustrates the importance of personalised counselling during the preconception period and emphasises to include all disciplines involved in the medical and daily care of such a patient. In our case, the extensive multidisciplinary care during the preconception period, pregnancy, delivery and postpartum period resulted in a good maternal and neonatal outcome.
['Benner|Bernadette J M|BJM|', 'Bazelmans|Mijke|M|', 'Huidekoper|Hidde|H|', 'Langeveld|Mirjam|M|', 'Langendonk|Janneke|J|', 'Schoenmakers|Sam|S|']
D000328:Adult D003981:Diazoxide D000070601:Diet, Carbohydrate Loading D037001:Directive Counseling D005260:Female D006801:Humans D022124:Hyperammonemia D006946:Hyperinsulinism D007003:Hypoglycemia D008607:Intellectual Disability D010348:Patient Care Team D016742:Preconception Care D011247:Pregnancy D011248:Pregnancy Complications D011256:Pregnancy Outcome D013577:Syndrome
pregnancy metabolic disorders