Addison's Disease and Pregnancy
For most pregnant women with Addison's disease, pregnancy, labor, and delivery are uncomplicated -- provided they adhere to their medication regimen. If pregnancy-related nausea and vomiting occurs, the medication may be administered with an injection.
An Overview of Pregnancy and Addison's DiseaseMost women with Addison's disease who become pregnant are able to have an uncomplicated pregnancy, labor, and delivery. Pregnant women with Addison's disease require close monitoring and need to take the correct medications -- just like women with Addison's disease who are not pregnant.
Treatment for Addison's Disease During PregnancyWomen with Addison's disease who become pregnant receive the standard Addison's disease treatment. If nausea and vomiting in early pregnancy interfere with oral medication, injections of the hormone may be necessary.
During delivery, women are treated with injections of hydrocortisone and saline. Following delivery, the dose of Addison's disease medications is gradually tapered and the usual maintenance doses of hydrocortisone and fludrocortisone acetate by mouth are reached by about 10 days after childbirth.