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Hypoparathyroidism during pregnancy is a very rare endocrine disorder. The majority of cases are postsurgical (75%). Managing pregnant or nursing women with hypoparathyroidism is challenging due to complications arising from either under- or overtreatment, including premature delivery or fetal death, abortion, stillbirth, perinatal death and neonatal tetany. Specific adaptations are needed within each time period to meet the fetal, neonatal and maternal calcium requirements. A systematic search was performed on PubMed using the search te