Flashcards in Post-partum complications Deck (3)
What is the name of the syndrome due to pituitary infarction post labour ( due to excessive post-partum blood loss +/- hypovolemic shock)?
Sheehan's syndrome = pituitary infarction due to excessive post-partum blood loss and hypovolemic shock
~pituitary is enlarged in pregnancy "juicy" with hormones, so prone to infarction
~ can affect secretion of some or all hormones of pituitary (TSH, LH, FSH, prolactin, ACTH, GH)
How does Sheehan's present?
~ prolactin gone = failure to lactate post-delivery
~ amenorrhea (no period) or oligomenorrhea (> 35 days, oligo = long) due to loss of FSH/LH
~ can have hypothyroidism, hypotension, etc