{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T14:05:34Z","timestamp":1778940334744,"version":"3.51.4"},"reference-count":22,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T00:00:00Z","timestamp":1644019200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Ornithine transcarbamylase (OTC) deficiency is the most common inherited metabolic disorder in urea cycles with an incidence of 1:14,000 live births. Pregnancy, childbirth and the postpartum period are considered challenging for women with this hereditary metabolic disorder, with a risk of hyperammonemia, especially in the first week after delivery. In our article, we discuss severe hepatic failure, a pregnancy complication in an OTC deficient patient that has not previously been published. Firstly, our aim is to highlight the need for a strict adherence to the recommendation of the gradual increase of protein intake during pregnancy and the importance of multidisciplinary monitoring of pregnant patients with OTC deficiency. Secondly, we refer to critical postpartum hyperammonemia in patients with this hereditary metabolic disorder.<\/jats:p>","DOI":"10.3390\/diagnostics12020415","type":"journal-article","created":{"date-parts":[[2022,2,6]],"date-time":"2022-02-06T20:36:47Z","timestamp":1644179807000},"page":"415","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effect of Ornithine Transcarbamylase (OTC) Deficiency on Pregnancy and Puerperium"],"prefix":"10.3390","volume":"12","author":[{"given":"Rastislav","family":"Sys\u00e1k","sequence":"first","affiliation":[{"name":"1st Department of Gynaecology and Obstetrics, Faculty of Medicine, Comenius University in Bratislava, 851 07 Bratislava, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katar\u00edna","family":"Brennerov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, National Institute of Children\u2019s Diseases, 831 01 Bratislava, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romana","family":"Krl\u00edn","sequence":"additional","affiliation":[{"name":"2nd Department of Gynaecology and Obstetrics, Faculty of Medicine, Comenius University in Bratislava, 821 01 Bratislava, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"\u0160tencl","sequence":"additional","affiliation":[{"name":"1st Department of Gynaecology and Obstetrics, Faculty of Medicine, Comenius University in Bratislava, 851 07 Bratislava, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Rus\u0148\u00e1k","sequence":"additional","affiliation":[{"name":"1st Department of Gynaecology and Obstetrics, Faculty of Medicine, Slovak Medical University, 831 01 Bratislava, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1ria","family":"Vargov\u00e1","sequence":"additional","affiliation":[{"name":"1st Department of Gynaecology and Obstetrics, Faculty of Medicine, Comenius University in Bratislava, 851 07 Bratislava, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.jgg.2015.04.003","article-title":"Genotype-Phenotype Correlations in Ornithine Transcarbamylase Deficiency: A Mutation Update","volume":"42","author":"Caldovic","year":"2015","journal-title":"J. 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