Hypothyroidism in Pregnancy

被引：38

作者：

Sullivan, Scott A. ^{[1
]}

机构：

[1] Med Univ South Carolina, Dept Obstet Gynecol, Div Maternal Fetal Med, Charleston, SC 29425 USA

来源：

CLINICAL OBSTETRICS AND GYNECOLOGY | 2019年 / 62卷 / 02期

关键词：

hypothyroidism; pregnancy; hashimoto's thyroiditis; thyroid screening; subclinical hypothyroidism; MATERNAL THYROID-DEFICIENCY; SUBCLINICAL HYPOTHYROIDISM; 1ST TRIMESTER; STIMULATING HORMONE; TSH LEVELS; WOMEN; RISK; HYPOTHYROXINEMIA; CHILDHOOD; COMPLICATIONS;

D O I：

10.1097/GRF.0000000000000432

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Hypothyroidism in pregnancy is defined as the presence of an elevated thyroid stimulating hormone during gestation, affecting 2% to 3% of the population. Overt hypothyroidism is diagnosed by a decreased FT4, while patients with a normal FT4 are considered to have subclinical disease. Poorly controlled disease is associated with both pregnancy complications and developmental delays in the offspring. Treatment consists of replacement with levothyroxine and regular monitoring. Most pregnant women will require an increase in their dosing from 25% to 30%. While treatment for SCH remains controversial, current recommendations do not support universal screening of low-risk women during pregnancy.

引用

页码：308 / 319

页数：12

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