Importance of active screening for thyroid disorders in pregnant women


Authors: Z. Límanová;  E. Potluková
Authors‘ workplace: III. interní klinika 1. LF UK a VFN Praha
Published in: Prakt Gyn 2007; 11(3): 120-124

Overview

In active screening, up to 5% of pregnant women are found to have a thyroid disorder, mostly asymptomatic hypothyroidism. If left untreated, even a mild decrease of the thyroid function may have a negative impact on the course of pregnancy, as well as on the fetal development - mainly in the psychomotor area. In this article, we review the current opinions on active screening for thyroid disorders in pregnant women and in women who wish to conceive. Also, euthyroid women with positive antithyroid antibodies should be identified. Their thyroid function may alter significantly during pregnancy, and they commonly develop postpartum thyroiditis. The Czech Endocrinological Society recommends introducing a preventive examination of thyroid disorders in all women in early pregnancy, as a part of the first blood examination.

Key words:
thyroid disorders – pregnancy – screening – hypothyroidism – thyroid antibodies


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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