Diabetes insipidus (DI) is characterized by the passage of large amounts of dilute urine and results primarily from either a reduction in the secretion of or impaired response to vasopressin. Vasopressin is a peptide hormone that is synthesized in the hypothalamus before being transported to the posterior pituitary for storage and release. Strategies for medical management that is safe for both mother and fetus will be presented. The anesthetic management of labor and delivery as well as operative deliveries will be discussed.
KeywordsDiabetes insipidus Anesthesia Obstetrical Electrolyte abnormalities Vasopressin