- Bone metabolism and osteoporosis in women during pregnancy and lactation – a modern view and treatment strategy
Bone metabolism and osteoporosis in women during pregnancy and lactation – a modern view and treatment strategy
Ukrainian Journal Health of Woman. 2025. 3(178): 96-102. doi: 10.15574/HW.2025.3(178).96102
Bondarenko N. P., Рrуlutska A. B., Kisilenko О. L., Martynova L. I.
Bogomolets National Medical University, Kyiv, Ukraine
For citation: Bondarenko NP, Рrуlutska AB, Kisilenko ОL, Martynova LI. (2025). Bone metabolism and osteoporosis in women during pregnancy and lactation – a modern view and treatment strategy. Ukrainian Journal Health of Woman. 3(178): 96-102. doi: 10.15574/HW.2025.3(178).96102
Article received: Apr 04, 2025. Accepted for publication: May 21, 2025.
Аim – to study and systematize the modern view on changes in mineral metabolism during pregnancy and lactation, their clinical impact, modern directions for the prevention and treatment of osteoporosis in women based on existing evidence on the impact of various therapeutic measures.
The relevance of the problem of osteoporosis during pregnancy and lactation is described. The etiopathogenetic factors that determine the occurrence of the disease are considered. Attention is focused on complications caused by osteoporosis during pregnancy and lactation. The effectiveness of methods of diagnosis and treatment of pregnant women with osteoporosis is analyzed.
Conclusions. Despite modern diagnostics and pharmacological means, the problem of osteoporosis during pregnancy and lactation (PLO) remains complex and in the future is the cause of a decrease in the quality of life of a woman. Given the lack of standard clinical recommendations for the treatment of PLO, to obtain effective treatment when choosing a drug, it is necessary to take into account many factors, starting from accurate diagnosis and ending with individual treatment. Cessation of breastfeeding and calcium with vitamin D monotherapy causes rapid bone recovery, prevents fractures and improves the quality of life of a woman in the future.
The authors declare no conflict of interest.
Keywords: osteoporosis, pregnancy, lactation, diagnostics, treatment, prevention.
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