Med. praxi. 2013;10(5):195-198

Thyroid diseases and pregnancy

MUDr.Eliška Potluková, Ph.D.
3. interní klinika VFN a 1. LF UK, Praha

Autoimmune thyroid diseases are common in the population of women of reproductive age. Positivity for anti-thyroid peroxidase antibodies

occurs in approximately 10% and thyroid hypofunction in 5% of pregnant women. Low thyroid function in the mother can adversely affect the

course of pregnancy, delivery, as well as the psychomotor development of the offspring. Autoimmune thyroid diseases can be easily diagnosed

and treated. The Czech Society of Endocrinology recommends that all pregnant women be screened for autoimmune thyroid disease as

soon as possible after the pregnancy has been established. In order to determine the correct diagnosis and treatment of autoimmune thyroid

diseases in women of reproductive age, participation of various medical specialities is required, particularly including general practitioners,

gynaecologists, internists, immunologists and endocrinologists. The present article summarizes the current knowledge and recommendations

concerning the management of thyroid disease in pregnancy and it provides practical hints for common practice.

Keywords: autoimmune thyroid disease, pregnancy, screening

Published: June 1, 2013  Show citation

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Potluková E. Thyroid diseases and pregnancy. Med. praxi. 2013;10(5):195-198.
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References

  1. Límanová Z, Springer D. Současné zkušenosti s vyšetřováním tyreopatií v graviditě - výsledky pilotního projektu. Čas. Lék. čes. 2011; 150(7): 389-393.
  2. Potluková E, Jiskra J, et al. Universal Screening for Thyroid Disorders in Pregnancy: Experience of the Czech Republic. A New Look at Hypothyroidism. D. Springer, InTech: 2012: 256. Go to original source...
  3. Potluková E, Potluka O, et al. Is age a risk factor for hypothyroidism in pregnancy? An analysis of 5223 pregnant women. J Clin Endocrinol Metab 2012; 97(6): 1945-1952. Go to original source... Go to PubMed...
  4. Horáček J, Špitálníková S, et al. Universal screening detects two-times more thyroid disorders in early pregnancy than targeted high-risk case finding. Eur J Endocrinol 2010; 163(4): 645-650. Go to original source... Go to PubMed...
  5. Haddow JE, Palomaki GE, et al. Maternal thyroid deficiency during pregnancy and subsequent neuropsychological development of the child. N Engl J Med 1999; 341(8): 549-555. Go to original source... Go to PubMed...
  6. Lazarus JH, Bestwick, et al. Antenatal Thyroid Screening and Childhood Cognitive Function. N Engl J Med 2012; 366(6): 493-501. Go to original source... Go to PubMed...
  7. Prummel MF, Wiersinga WM. Thyroid autoimmunity and miscarriage. Eur J Endocrinol 2004; 150(6): 751-755. Go to original source... Go to PubMed...
  8. Stagnaro-Green A, Abalovich M, et al. Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and postpartum." Thyroid 2011; 21(10): 1081-1125. Go to original source... Go to PubMed...
  9. Horáček J, Jiskra J, et al. Doporučení pro diagnostiku a léčbu onemocnění štítné žlázy v těhotenství a pro ženy s poruchou fertility. DMEV 2013; 16(1): 38-61.
  10. Zamrazil V, Bílek R, et al. The elimination of iodine deficiency in the Czech Republic: the steps toward success. Thyroid 2004; 14(1): 49-56. Go to original source... Go to PubMed...
  11. Negro R, Greco G, et al. The influence of selenium supplementation on postpartum thyroid status in pregnant women with thyroid peroxidase autoantibodies. J Clin Endocrinol Metab 2007; 92(4): 1263-1268. Go to original source... Go to PubMed...
  12. NCT00388297, C. g. I. (2006-2015). "Thyroid Therapy for Mild Thyroid Deficiency in Pregnancy (TSH)." http://www.clinicaltrials.gov/ct/show/NCT00388297.




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