Thyroid Dysfunction in PregnancyEndocrine Emergencies in ObstetricsGOODIER, CHRISTOPHER G. MDAuthor Information Department of Obstetrics/Gynecology, Division of Maternal Fetal Medicine, Medical University of South Carolina, Charleston, South Carolina The author declares that there is nothing to disclose. Correspondence: Christopher G. Goodier, MD, Department of Obstetrics/Gynecology, Division of Maternal Fetal Medicine, Medical University of South Carolina, 96 Jonathan Lucas St. Suite 634, Charleston, SC 29425. E-mail: [email protected] Clinical Obstetrics and Gynecology: June 2019 - Volume 62 - Issue 2 - p 339-346 doi: 10.1097/GRF.0000000000000433 Buy Metrics Abstract Endocrine emergencies in pregnancy can be life threatening and are associated with increased morbidity for both the mother and fetus. Thyroid storm, diabetic ketoacidosis, and hypercalcemic crisis require a high clinical suspicion, rapid treatment, and multidisciplinary care to ensure best outcomes. Critical care consultation and intensive care unit admission are often warranted. Fetal testing may initially be concerning; however often improves with correction of the underlying metabolic derangement(s) and delivery is generally avoided until maternal status improves. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.