Pregnancy-associated osteoporosis - case report

. Pregnancy is a condition in which the foetus meets higher calcium demands to which the mother responds by higher intestinal absorption and/or mobilisation of bone calcium. This condition can be rarely associated with the development of osteoporosis and osteoporotic fractures, usually in the first pregnancy. It is still unknown whether osteoporosis in pregnancy is a result of the mother?s maladaptation to higher demands on calcium turnover, or the woman started pragnancy with a lower peak bone mass. CASE OUTLINE. This is a report of a 30-year old woman with severe osteoporosis diagnosed after her first delivery (T score L2-L4 -4,8). This woman was followed-up nine years later, during which period she had two more pregnancies. CONCLUSION. The appearance of rare, but serious osteoporosis in the third trimester of pregnancy requires close attention and further investigation of pregnant women, especially in case of the present hip or spine pain.