Evaluating the impact of gypsum as a novel bedding material on broiler performance, foot pad health, and fear response

Flue Gas Desulfurization (FGD) gypsum is a byproduct of the coal-fired power plant process commonly used to remove sulfur dioxide emissions from the flue gas. FGD gypsum has numerous industrial, agricultural, and environmental applications. This study aimed to explore a novel approach involving the use of FGD gypsum combined with different litter treatments as bedding for broiler production. It focused on performance metrics, including adjusted feed conversion ratio (AFCR) and average body weight (BW), foot pad dermatitis (FPD), and fear response over 5 consecutive flocks. A total of 1,800 one-day-old Ross 708 chicks were randomly assigned to 24 pens (75 birds/pen), divided into 6 treatment groups (4 pens/treatment), with 5 replications and raised until 42 d old (d). Treatments were gypsum that was decaked (D), rotovated (E), and rotovated then windrowed (F) between flocks. Control treatments using pine shavings were decaked (A), rotovated (B), and windrowed postrotovating (C). AFCR, average BW, and mortality were used as a measure of production. Foot pad dermatitis scores were taken on d42 using a scale of 0 (absence), 1 (mild), and 2 (severe). Response to observer and human approach test were used to measure fear response. Data were analyzed as a 2-way ANOVA (Proc Glimmix) for the main effects of bedding type and litter treatment. Means were identified using Tukey's HSD. No effect of bedding type or litter treatment was found for AFCR, BW, or mortality. FPD scores 2 and 1, were higher with pine shavings than gypsum (P = 0.01 and P = 0.01, respectively). While FPD scores 0 were higher for gypsum than the pine shaving (P = 0.01). No difference in fear response was found among birds raised on any of the gypsum litter treatments and any of the pine shaving litter treatments. Overall, the use of gypsum as bedding results in equivalent production and fear response to pine shavings, while increasing FPD quality when compared to pine shaving.

Effectiveness of flue gas desulfurization gypsum in reducing phosphorus solubility in poultry litter when applied as an in-house amendment

Phosphorus (P) runoff from agricultural lands receiving poultry litter (PL) poses a major environmental challenge. Application of flue-gas-desulfurization (FGD)-gypsum produced from coal power plants in agricultural lands has shown promise to reduce P losses. However, no information is available about the effectiveness of FGD-gypsum addition in reducing P solubility when applied as an in-house amendment. Hence, the objectives of this study were to understand a) effectiveness of FGD-gypsum as a litter amendment in reducing P loss risk; and b) how FGD-gypsum amendment in PL alters the distribution of P forms. Broiler chickens were raised for five flocks in seven individual litter treatments replicated four times in a randomized complete block design. Based on the FGD-gypsum addition, the PL treatments were broadly classified as FGD-gypsum treated and untreated. Toxic metal concentrations were analyzed in FGD-gypsum as well as the treatments. Sequential water extractions were performed to understand P solubility. Litter P fractionation was performed to identify bioavailable P (Water-P), labile P (NaHCO3-P), aluminum/iron chemisorbed P (NaOH-P), and mineral occluded P (HCl-P). Results indicated significantly higher soluble P in all untreated than in all FGD-gypsum treated litters in the initial water extraction. The FGD-gypsum treated litters reduced soluble P by 58 to 67% in the 1st water extraction compared to untreated litters. Fractionation study revealed lower proportion of Water-P and higher proportion of NaHCO3-P and HCl-P in all FGD-gypsum treated than in untreated litters. This study suggests reuse of FGD-gypsum in broiler houses can help reduce P mobility without any toxic metals concerns.

Legacy phosphorus in Alabama Hartsells soil after long-term amendment with broiler litter

Numerous studies have investigated effects of long-term manure application on total phosphorus (P) and inorganic P (P_i ), but few have evaluated soil organic P (P_o ). Little is known about crop management effects on P_o in soils with varying minerology. In this study, sequential fractionation was used to characterize specific P forms after 25 years of broiler litter (BL) or ammonium nitrate (Con) applications to an Alabama Hartsells soil. Crops (corn [Zea mays L.], soybean [Glycine Willd.], and corn or soybean with a wheat [Triticum aestivum L.] cover crop) were under conventional tillage (CT) or no-tillage (NT). Regardless of crop, tillage, or fertilizer type, the proportion of extractable P_i was relatively stable at 21%-49% at 0-5 cm and 25%-45% at 5-10 cm. Extractable P_i ranged from 0.69 to 2.4 mg g^-1 . BL increased total extractable P_i (p ≤ 0.001) at 0-5 cm and 5-10 cm. Total extractable P was influenced at 0-5 cm (p ≤ 0.006) by both tillage and fertilization type, but not at 5-10 cm or at either depth in soybean plots. Long-term BL application increased total extractable soil P at 0-5 cm. In corn systems, CT did not reduce P loading to topsoil or result in P leaching to lower soil depths, compared to NT. Soybean and soybean-wheat reduced P loading in BL plots, compared to corn and corn-wheat. Soil P_o was classed in the order of monoesters > phytate and polyphosphates, where most was extractable with NaOH. BL increased extractable P_o in all fractions. Care should be taken when applying BL to highly weathered soils to avoid legacy P_o accumulation. Soybean rotations and cover crops could help remediate P-laden soils after repeated BL application.

Meta-Analysis of Gypsum Effects on Crop Yields and Chemistry of Soils, Plant Tissues, and Vadose Water at Various Research Sites in the USA

Gypsum has a long history as a soil amendment. Information on how flue gas desulfurization (FGD) gypsum affects soil, water, and plant properties across a range of climates and soils is lacking. We conducted a meta-analysis using data from 10 field sites in the United States (Alabama, Arkansas, Indiana, New Mexico, North Dakota, Ohio, and Wisconsin). Each site used three rates each of mined and FGD gypsums plus an untreated control treatment. Gypsum rates included a presumed optimal agronomic rate plus one rate lower and one rate higher than the optimal. Gypsum was applied once at the beginning of each study, and then data were collected for 2 to 3 yr. The meta-analyses used response ratios () calculated by dividing the treatment value by the control value for crop yield or for each measured element in plant, soil, and vadose water. These values were tested for their significance with values. Most values varied only slightly from 1.00. Gypsum significantly changed more values from 1.00 for vadose water than for soil or crop tissue in terms of numbers of elements affected (11 for water, 7 for soil, and 8 for crop tissue). The highest value for soil was 1.57 (Ca) which was similar for both mined and FGD gypsum, for crop tissue was 1.46 (Sr) for mined gypsum, and for vadose water was 4.22 (S) for FGD gypsum. The large increase in Ca and S is often a desired response to gypsum application. Lowest values occurred in crop tissue for Mg (0.89) with FGD gypsum and for Ni (0.92 or 0.93) with both gypsums. Although some sites showed crop yield responses to gypsum, the overall mean values for mined gypsum (0.987) and for FGD gypsum (1.00) were not significantly different from 1.00 in this short-term study.

Impact of Flue Gas Desulfurization Gypsum and Manure Application on Transfer of Potentially Toxic Elements to Plants, Soil, and Runoff

There are concerns regarding the fate of nutrients from surface application of animal manure. One approach to reduce losses of P is to treat manure with industrial byproducts such as flue gas desulfurization (FGD) gypsum. However, concerns regarding potentially toxic elements contributed to the environment have arisen based on previous element-rich forms of FGD gypsum that included fly ash, whereas "new" FGD gypsum without fly ash is much lower in contaminants. This study examined the impact of FGD gypsum application on soil, plants, and runoff when applied alone or with poultry litter (PL) to soil. The study consisted of a plant response study (four rates of FGD gypsum of 0, 2.2, 4.4, and 8.9 Mg ha and four rates of PL of 0, 4.4, 8.9, and 13.4 Mg ha) and a rainfall simulation study (3.4 Mg PL ha with four rates of FGD gypsum of 0, 2.2, 4.4, and 8.9 Mg ha and controls). Plant, soil, and runoff samples were analyzed for As, Ba, Be, Ca, Cd, Ba, Co, Cr, Cu, Fe, K, Mg, Mn, Na, Ni, P, Pb, Sb, Se, Tl, V, and Zn. Results indicated that FGD gypsum application would not result in increased potentially toxic elements in plants, soil, or runoff. In addition, the application of FGD gypsum significantly reduced P, As, and Fe concentrations in runoff, indicating that FGD gypsum can reduce the negative impact of manure surface application on surface water degradation.

Potential Adherence of Flue Gas Desulfurization Gypsum to Forage as a Consideration for Excessive Ingestion by Ruminants

Gypsum (calcium sulfate dihydrate, CaSO⋅2HO) has long been used to improve soils and crop production, and its use has recently been encouraged by the USDA-NRCS for soil conservation through a new Conservation Practice Standard: Code 333. However, there is concern regarding the adverse effects of excessive direct ingestion of sulfate in gypsum by ruminants. The standard requires ruminants to be removed from grazing after application until after a rainfall, but there has been no research documenting gypsum adherence to forage or the potential for rainfall to reduce gypsum adherence. A study was established to examine the adherence and persistence of gypsum on different forage species. Two forages (bermudagrass [ L.] and tall fescue [ Schreb.]) were examined after gypsum applications at rates of 0, 1, and 5 Mg ha. The forage was sampled immediately after application, 1 wk after application, after a 1.5-cm rain, and after a 3.3-cm rain. Immediately after gypsum application, more gypsum adhered to the tall fescue (27.9 g gypsum kg) compared with bermudagrass (8.6 g gypsum kg), likely due to differences in the leaf structure. This represents S concentrations of 0.16 and 0.52% for any grazing ruminants feeding exclusively on the bermudagrass and tall fescue pastures. On succeeding sampling dates, substantial amounts of gypsum persisted only on the wider-leaved tall fescue. With tall fescue, a difference in gypsum adherence could be observed after a 1.5-cm rain, but no significant difference was observed between the gypsum application and the control after an additional 3.3-cm rain. Results indicate that care should be observed with grazing after gypsum application, especially on wide-leaved forages. However, using application rates within normal agronomic beneficial use guidelines (NRCS standard 333), negative results from direct ingestion of gypsum are not likely if grazing is discontinued several weeks and until a rainfall event occurs.

The influence of microbial-based inoculants on N2O emissions from soil planted with corn (Zea mays L.) under greenhouse conditions with different nitrogen fertilizer regimens

Nitrous oxide (N₂O) emissions are increasing at an unprecedented rate owing to the increased use of nitrogen (N) fertilizers. Thus, new innovative management tools are needed to reduce emissions. One potential approach is the use of microbial inoculants in agricultural production. In a previous incubation study, we observed reductions in N₂O emissions when microbial-based inoculants were added to soil (no plants present) with N fertilizers under laboratory incubations. This present study evaluated the effects of microbial-based inoculants on N₂O and carbon dioxide (CO₂) emissions when applied to soil planted with corn (Zea mays L.) under controlled greenhouse conditions. Inoculant treatments consisted of (i) SoilBuilder (SB), (ii) a metabolite extract of SoilBuilder (SBF), and (iii) a mixture of 4 strains of plant-growth-promoting Bacillus spp. (BM). Experiments included an unfertilized control and 3 N fertilizers: urea, urea - ammonium nitrate with 32% N (UAN-32), and calcium - ammonium nitrate with 17% N (CAN-17). Cumulative N₂O fluxes from pots 41 days after planting showed significant reductions in N₂O of 15% (SB), 41% (BM), and 28% (SBF) with CAN-17 fertilizer. When UAN-32 was used, reductions of 34% (SB), 35% (SBF), and 49% (BM) were obtained. However, no reductions in N₂O emissions occurred with urea. Microbial-based inoculants did not affect total CO₂ emissions from any of the fertilized treatments or the unfertilized control. N uptake was increased by an average of 56% with microbial inoculants compared with the control (nonmicrobial-based treatments). Significant increases in plant height, SPAD chlorophyll readings, and fresh and dry shoot mass were also observed when the microbial-based treatments were applied (with and without N). Overall, results demonstrate that microbial inoculants can reduce N₂O emissions following fertilizer application depending on the N fertilizer type used and can enhance N uptake and plant growth. Future studies are planned to evaluate the effectiveness of these microbial inoculants in field-based trials and determine the mechanisms involved in N₂O reduction.

Influence of Flue Gas Desulfurization Gypsum on Reducing Soluble Phosphorus in Successive Runoff Events from a Coastal Plain Bermudagrass Pasture

Controlling the threat that pastures intensively managed with poultry litter (PL) pose to accelerating eutrophication is a major issue in the southeastern United States. Gypsum (CaSO) has been identified as a promising management tool for ameliorating litter P losses to runoff. Thus, research was conducted to elucidate gypsum's residual effects on P losses from a bermudagrass ( L.) pasture. Runoff events (60 min) were created using rainfall simulations. Treatments consisted of applying four flue gas desulfurization (FGD) gypsum rates (0, 2.2, 4.4, and 8.9 Mg ha) to bermudagrass fertilized with 13.4 Mg ha PL plus a nonfertilized check (no litter or gypsum) and 8.9 Mg ha FGD gypsum only as controls. Rainfall simulations (∼ 85 mm h) were conducted immediately, 5 wk, and 6 mo (i.e., at the end of growing season) after PL application to determine gypsum's effectiveness at controlling P loss over successive runoff events. The greatest dissolved P (DP) in runoff occurred immediately after PL application. Gypsum effectively reduced cumulative DP concentration losses (54%) compared with PL alone in initial runoff events. Gypsum reduced DP concentrations in succeeding runoff events also regardless of timing, suggesting that its effect is persistent and will not diminish over a growing season. Generally, maximum DP reductions were achieved with 8.9 Mg ha. However, it was surmised from this study that optimal P reduction in a bermudagrass pasture can be achieved with 4.4 Mg ha. Information ascertained from this study may be useful in aiding land managers making prescriptions for management practices that reduce DP losses from agricultural fields.

Subsurface Band Application of Poultry Litter and Its Influence on Phosphorus Concentration and Retention after Runoff from Permanent Pastures

Excessive phosphorus (P) loss from agricultural fields is a major cause of eutrophication to rivers, lakes, and streams. To mitigate P loss after poultry litter (PL) applications, technology is being developed to apply litter below the soil surface. Thus, research was conducted to evaluate the effects of subsurface PL banding on soil P under pasture management. Treatments consisted of surface-broadcasted or subsurface-banded PL (38 cm apart) at 9 Mg ha, surface-broadcasted commercial fertilizer (CF; urea and triple superphosphate blend) at N (330 kg N ha) and P (315 kg N ha) application rates equivalent to PL, and a nonfertilized control. Runoff events lasting 40 min were simulated in bermudagrass ( L.) pastures on common soil types of the Coastal Plain and Piedmont regions. One day later, Mehlich-1 and water-soluble P concentrations in soil were measured at depths of 0 to 5 cm and 5 to 10 cm to determine P distribution and movement. The greatest P concentrations were observed at the shallow depth for all treatments. Phosphorus measurements at the point of application for PL bands were greater than for the surface-applied treatments (PL and CF) and control. Measurements between subsurface PL bands were slightly higher than the control but were statistically similar, suggesting that this application method can abate short-term P movement. Results obtained from this study show that subsurface band applying PL could increase P retention and reduce movement by precluding contact between surface water and litter nutrients.

Impacts of Enhanced-Efficiency Nitrogen Fertilizers on Greenhouse Gas Emissions in a Coastal Plain Soil under Cotton

Enhanced-efficiency N fertilizers (EENFs) have the potential to increase crop yield while decreasing soil N loss. However, the effect of EENFs on greenhouse gas (GHG) emissions from different agricultural systems is not well understood. Thus, studies from a variety of locations and cropping systems are needed to evaluate their impact. An experiment was initiated on a Coastal Plain soil under cotton ( L.) production for comparing EENFs to traditional sources. Nitrogen sources included urea, ammonia sulfate (AS), urea-ammonia sulfate (UAS), controlled-release, polymer-coated urea (Environmental Smart Nitrogen [ESN]), stabilized granular urea (SuperU), poultry litter (PL), poultry litter plus AgrotainPlus (PLA), and an unfertilized control. Carbon dioxide (CO), nitrous oxide (NO), and methane (CH) fluxes were monitored regularly after fertilization through harvest from 2009 to 2011 using a closed-chamber method. Poultry litter and PLA had higher CO flux than other N treatments, while ESN and SU were generally lowest following fertilization. Nitrous oxide fluxes were highly variable and rarely affected by N treatments; PL and PLA were higher but only during the few samplings in 2010 and 2011. Methane fluxes were higher in 2009 (wet year) than 2010 or 2011, and N treatments had minimal impact. Global warming potential (GWP), calculated from cumulative GHG fluxes, was highest with PL and PLA and lowest for control, UAS, ESN, and SU. Results suggest that PL application to cotton increases GHG flux, but GHG flux reductions from EENFs were infrequently different from standard inorganic fertilizers, suggesting their higher cost may render them presently impractical.

Sustainable Uses of FGD Gypsum in Agricultural Systems: Introduction

Interest in using gypsum as a management tool to improve crop yields and soil and water quality has recently increased. Abundant supply and availability of flue gas desulfurization (FGD) gypsum, a by-product of scrubbing sulfur from combustion gases at coal-fired power plants, in major agricultural producing regions within the last two decades has attributed to this interest. Currently, published data on the long-term sustainability of FGD gypsum use in agricultural systems is limited. This has led to organization of the American Society of Agronomy's Community "By-product Gypsum Uses in Agriculture" and a special collection of nine technical research articles on various issues related to FGD gypsum uses in agricultural systems. A brief review of FGD gypsum, rationale for the special collection, overviews of articles, knowledge gaps, and future research directions are presented in this introductory paper. The nine articles are focused in three general areas: (i) mercury and other trace element impacts, (ii) water quality impacts, and (iii) agronomic responses and soil physical changes. While this is not an exhaustive review of the topic, results indicate that FGD gypsum use in sustainable agricultural production systems is promising. The environmental impacts of FGD gypsum are mostly positive, with only a few negative results observed, even when applied at rates representing cumulative 80-year applications. Thus, FGD gypsum, if properly managed, seems to represent an important potential input into agricultural systems.

Impact of flue gas desulfurization gypsum application on water quality in a coastal plain soil

There are growing concerns regarding the fate of nutrients, especially phosphorus (P), from land application of animal waste. One approach being studied to reduce runoff losses of P is to treat manure or the soil receiving manure with chemical amendments such as gypsum. This study used rainfall simulations to examine the impact of flue gas desulfurization (FGD) gypsum application on runoff nutrient losses on a Coastal Plains soil (Luverne sandy loam; fine, mixed, semiactive, thermic Typic Hapludults). Four rates of FGD gypsum (0, 2.2, 4.4, and 8.9 Mg ha) were applied to plots of Coastal Bermudagrass ( L.) that had received application of 13.4 Mg ha poultry litter. Plots with 8.9 Mg ha FGD gypsum but no poultry litter and plots with neither poultry litter nor FGD gypsum were also used. Rainfall simulation was used to generate water runoff for 60 min, and samples were analyzed for soluble reactive P (SRP) and soluble Al, B, Ca, Cu, Fe, K, Mg, Mn, Na, and Zn. Total concentration of Ca, Mg, K, Na, Fe, Mn, and Zn and concentration of heavy metals Ar, Hg, Al, Sb, Ba, Be, Cd, Cr, Co, Cu, Pb, Ni, Si, V, Se, Tl, and hexavalent chromium were also analyzed. Results indicated a maximum of 61% reduction in SRP concentration in runoff with the application of 8.9 Mg ha FGD gypsum. This translated to a 51% reduction in total SRP load during the 60-min runoff event. Concentrations of heavy metals in runoff were all found to be below detection limits. The results indicated that use of 4.4 Mg ha FGD gypsum on Coastal Plains pastures receiving poultry litter could be an effective method of reducing SRP losses to the environment.

Microbial-based inoculants impact nitrous oxide emissions from an incubated soil medium containing urea fertilizers

There is currently much interest in developing crop management practices that will decrease NO emissions from agricultural soils. Many different approaches are being investigated, but to date, no studies have been published on how microbial inoculants affect NO emissions. This study was conducted to test the hypothesis that microbial-based inoculants known to promote root growth and nutrient uptake can reduce NO emissions in the presence of N fertilizers under controlled conditions. Carbon dioxide and CH fluxes were also measured to evaluate microbial respiration and determine the aerobic and anaerobic conditions of the incubated soil. The microbial-based treatments investigated were SoilBuilder (SB), a metabolite extract of SoilBuilder (SBF), and a mixture of four strains of plant growth-promoting spp. Experiments included two different N fertilizer treatments, urea and urea-NHNO 32% N (UAN), and an unfertilized control. Emissions of NO and CO were determined from soil incubations and analyzed with gas chromatography. After 29 d of incubation, cumulative NO emissions were reduced 80% by SB and 44% by SBF in soils fertilized with UAN. Treatment with spp. significantly reduced NO production on Days 1 and 2 of the incubation in soils fertilized with UAN. In the unfertilized treatment, cumulative emissions of NO were significantly reduced 92% by SBF. Microbial-based treatments did not reduce NO emissions associated with urea application. Microbial-based treatments increased CO emissions from soils fertilized with UAN, suggesting a possible increase in microbial activity. Overall, the results demonstrated that microbial-based inoculants can reduce NO emissions associated with N fertilizer application, and this response varies with the type of microbial-based inoculant and fertilizer.

Subsurface application of poultry litter and its influence on nutrient losses in runoff water from permanent pastures

Environmental pressure to reduce nutrient losses from agricultural fields has increased in recent years. To abate this nutrient loss to the environment, better management practices and new technologies need to be developed. Thus, research was conducted to evaluate if subsurface banding poultry litter (PL) would reduce nitrogen (N) and phosphorus (P) loss in surface water runoff using a four-row prototype implement. Rainfall simulations were conducted to create a 40-min runoff event in an established bermudagrass (Cynodon dactylon L.) pasture on soil types common to the Coastal Plain and Piedmont regions. The Coastal Plain soil type was a Marvyn loamy sand (fine-loamy, kaolinitic, thermic Typic Kanhapludults) and the Piedmont soil type was a Hard Labor loamy sand (fine, kaolinitic, thermic Oxyaquic Kanhapludults). Treatments consisted of surface- and subsurface-applied PL at a rate of 9 Mg ha(-1), surface broadcast-applied commercial fertilizer (CF; urea and triple superphosphate blend) at the equivalent N (330 kg N ha(-1)) and P (315 kg N ha(-1)) content of PL, and a nonfertilized control. The greatest loss for inorganic N, total N, dissolved reactive P (DRP), and total P occurred with the surface broadcast treatments, with CF contributing to the greatest loss. Nutrient losses from the subsurface banded treatment reduced N and P in surface water runoff to levels of the control. Subsurface banding of PL reduced concentrations of inorganic N 91%, total N 90%, DRP 86%, and total P 86% in runoff water compared with surface broadcasted PL. These results show that subsurface band-applied PL can greatly reduce the impact of N and P loss to the environment compared with conventional surface-applied PL and CF practices.

Impact of gypsum applied to grass buffer strips on reducing soluble p in surface water runoff

The threat of P transport from land applied manure has resulted in water quality concerns. Research was conducted to evaluate gypsum as a soil amendment applied to grass buffer strips for reducing soluble P in surface runoff. A simulated concentrated flow was created in an established tall fescue (Festuca arundinacea Schreb.) pasture. Poultry litter (PL) was applied at a rate of 250 kg N ha(-1) to the upper 3.05 m of each plot, while gypsum was applied at rates of 0, 1, 3.2, and 5.6 Mg ha-1to the lower 1.52 m of the plot functioning as a grass buffer strip. Two 30-min runoff events ( approximately 4 L min(-1)) were conducted, immediately after PL application and 4 wk later to determined soluble P concentration in the surface water samples. The greatest concentration of soluble P was in the runoff event occurring immediately after the PL application. Gypsum applied to grass buffer strips was effective in reducing soluble P concentrations (32-40%) in surface runoff, while the untreated buffer strip was somewhat effective in reducing soluble P (18%). No significant differences were observed between gypsum rates, suggesting that land managers would achieve the greatest benefit from the lowest application rate (1Mgha(-1)). In the second runoff event, although concentrations of soluble P in the surface water runoff were greatly reduced, the effect of gypsum had disappeared. Thus, these results show that gypsum is most effective in reducing the initial P losses from PL application when applied to grass buffer strips. The information obtained from this study may be useful in aiding land managers in developing management practices that reduce soluble P loss at the edge of a field.

Pregnancy complicated by Gorham disease

BACKGROUND

A pregnancy with Gorham disease (massive osteolysis syndrome) is described. To our knowledge, this is the first reported case of a pregnancy associated with this disease.

CASE

A 25-year-old woman was seen for pre-conception counseling with the diagnosis of Gorham disease. Before pregnancy, magnetic resonance imaging confirmed a stable disease process. The woman and fetus were followed during pregnancy with ultrasound and consultations. Severe preeclampsia developed at delivery, with a significant thrombocytopenia. We delivered the infant by low forceps, with a good outcome. Subsequently, the mother and child were doing well at 18 months postpartum.

CONCLUSION

We briefly review this rare bone disease as it relates to pregnancy and provide information for preconception counseling.