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JDRS · Open access journal

Review · Open access

Pregnancy- and lactation-related bone fragility: The hidden risk

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Mustafa Ünal

Department of Orthopedics, Harvard Medical School, The Center For Advanced Orthopedic Studies, BIDMC, Boston, MA, USA

ORCID: 0000-0002-9518-8952

Koray Görkem Saçıntı

Department of Obstetrics and Gynecology, Aksaray University Training and Research Hospital, Aksaray, Türkiye Department of Public Health, Division of Epidemiology, Hacettepe University Faculty of Medicine, Ankara, Türkiye

ORCID: 0000-0002-8602-9714

Erdem Aras Sezgin

Department of Orthopedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Türkiye

ORCID: 0000-0001-5869-6571

Abstract

Abstract Pregnancy and lactation significantly alter bone homeostasis, potentially leading to impaired bone quality and mineralization due to the increased metabolic demands of the developing offspring. While most women with osteopenia during these periods experience a return to baseline bone density after weaning, some may remain at risk for fractures, particularly in cancellous bone. There are inconsistencies in current reports on fracture risk and appropriate treatment strategies. In this review, we discuss the existing evidence on the diagnosis, clinical presentation, and approaches for preventing and managing bone fragility in this unique population.

Declarations

Author Contributions

All authors contributed equally to this article.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.

Data Sharing Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.