Abstract
Maternal physiology adapts during pregnancy and lactation to provide adequate minerals to the developing fetus and neonate. Increased intestinal absorption of calcium and phosphorus is the main adaptive mechanism during pregnancy, while increased skeletal resorption of minerals predominates during lactation. In turn, these adaptations can influence the presentation, diagnosis, and management of disorders of bone and mineral metabolism that may predate pregnancy or onset for the first time during a reproductive cycle. The pathophysiology, presentation, and management of disorders of mineral and bone metabolism during pregnancy and lactation are the foci of this chapter.
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