Nutrition and medical support during pregnancy and lactation in women with inborn errors of intermediary metabolism disorders (IEMDs)

J Pediatr Endocrinol Metab. 2020 Jan 28;33(1):5-20. doi: 10.1515/jpem-2019-0048.

Abstract

The establishment of expanded newborn screening (NBS) not only results in the early diagnosis and treatment of neonates with inborn errors of intermediary metabolism disorders (IEMDs) but also helps the affected females to reach the reproductive age under medical and dietetic support, as well as to give birth to normal infants. In this review, we aimed to focus on laboratory investigation tests, dietetic management and medical support for most known IEMD pregnant and lactating women, such as those suffering from aminoacidopathies, carbohydrate metabolic diseases and fatty acid (FAO) oxidation disorders.

Keywords: IEMD mothers; galactosemia; lactation; phenylketonuria; pregnancy.

Publication types

  • Review

MeSH terms

  • Breast Feeding / methods*
  • Female
  • Health Promotion*
  • Humans
  • Infant, Newborn
  • Lactation*
  • Metabolism, Inborn Errors / diagnosis
  • Metabolism, Inborn Errors / therapy*
  • Neonatal Screening
  • Nutritional Status*
  • Pregnancy