A 29-year-old primigravid woman was transferred to our unit at 31 weeks’ gestation
for consideration of emergency Caesarean section in view of worsening hypertension
and unexplained “fetal distress.” She suffered from gastroesophageal reflux disease
(GERD) for which she took a proton-pump inhibitor (PPI) prior to pregnancy. Once pregnant,
she stopped the PPI in favour of an over-the-counter antacid comprising calcium carbonate
(CC) and sucrose. To alleviate her symptoms, our patient required 3000 to 3600 mg of elemental calcium daily, the recommended daily allowance being 1000 mg.
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- Milk-alkali syndrome:a historical review and description of the modern version of the syndrome.Am J Med Sci. 2006; 331: 233-242
- Milk-alkali syndrome is a major cause of hypercalcemia among non-end-stage renal disease (non-ESRD) inpatients.Clin Endocrinol (Oxf). 2005; 63: 566-576
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© 2013 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved.
