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The management protocol for pregnant women with adrenal insufficiency emphasizes the use of hydrocortisone for glucocorticoid replacement, with specific dose adjustments required during each trimester. Labor and delivery require stress-dose hydrocortisone administration, and postpartum management involves returning to pre-pregnancy doses while monitoring for adrenal crisis. An emergency protocol is outlined for adrenal crisis, including immediate hydrocortisone administration and IV fluids.

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