Lipid Disorders and Pregnancy

Endocrinol Metab Clin North Am. 2024 Sep;53(3):483-495. doi: 10.1016/j.ecl.2024.05.009. Epub 2024 Jun 18.

Abstract

Practicing endocrinologists are likely to confront 2 major issues that occur with dyslipidemias during pregnancy. The most dramatic is the development of severe hypertriglyceridemia leading to acute pancreatitis. The second is the approach to treatment of familial hypercholesterolemia, a common genetic disorder. This article reviews the normal physiology and the pathophysiology of lipoproteins that occurs with pregnancy and then discusses the approaches to prevention and/or treatment of dyslipidemia in pregnancy with a focus on lifestyle and acceptable drug therapies.

Keywords: Cholesterol; Chylomicron; Estrogen; Hyperlipidemia; LDL; Pancreatitis; Pregnancy; Triglyceride.

Publication types

  • Review

MeSH terms

  • Dyslipidemias / etiology
  • Dyslipidemias / therapy
  • Female
  • Humans
  • Hyperlipoproteinemia Type II / drug therapy
  • Hyperlipoproteinemia Type II / therapy
  • Hypertriglyceridemia / complications
  • Hypertriglyceridemia / therapy
  • Pregnancy
  • Pregnancy Complications* / therapy