Diagnosis and Management of Thyroid Disease in Pregnancy

被引:44
作者
Fitzpatrick, Diana L. [1 ]
Russell, Michelle A. [1 ]
机构
[1] Dartmouth Hitchcock Med Ctr, Dept Obstet & Gynecol, Lebanon, NH 03756 USA
关键词
Thyroid; Pregnancy; Management; UNITED-STATES; SUBCLINICAL HYPOTHYROIDISM; MATERNAL HYPOTHYROXINEMIA; GRAVES HYPERTHYROIDISM; RADIOIODINE TREATMENT; STIMULATING HORMONE; REFERENCE INTERVALS; IODINE-DEFICIENCY; NATIONAL-HEALTH; CANCER;
D O I
10.1016/j.ogc.2010.02.007
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Thyroid disease is common, affecting 1% to 2% of pregnant women. Pregnancy may modify the course of thyroid disease, and pregnancy outcomes can depend on optimal management of thyroid disorders. Consequently, obstetric providers must be familiar with thyroid physiology and management of thyroid diseases in pregnancy. Following a brief overview of physiology, this article provides an in-depth review of diagnosis and management of the spectrum of thyroid disease occurring in pregnancy. Recommendations for screening and treatment of hypo- and hyperthyroidism are summarized. Specific attention is given to the limitations of current research and the status of ongoing work.
引用
收藏
页码:173 / +
页数:22
相关论文
共 100 条
[21]   Urinary iodine concentration: United States National Health and Nutrition Examination Survey 2001-2002 [J].
Caldwell, KL ;
Jones, R ;
Hollowell, JG .
THYROID, 2005, 15 (07) :692-699
[22]   The Colorado thyroid disease prevalence study [J].
Canaris, GJ ;
Manowitz, NR ;
Mayor, G ;
Ridgway, EC .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (04) :526-534
[23]   TIMING OF VULNERABILITY OF THE BRAIN TO IODINE DEFICIENCY IN ENDEMIC CRETINISM [J].
CAO, XY ;
JIANG, XM ;
DOU, ZH ;
RAKEMAN, MA ;
ZHANG, ML ;
ODONNELL, K ;
MA, T ;
AMETTE, K ;
DELONG, N ;
DELONG, GR .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (26) :1739-1744
[24]   Subclinical hypothyroidism and pregnancy outcomes [J].
Casey, BM ;
Dashe, JS ;
Wells, CE ;
McIntire, DD ;
Byrd, W ;
Leveno, KJ ;
Cunningham, FG .
OBSTETRICS AND GYNECOLOGY, 2005, 105 (02) :239-245
[25]   Perinatal significance of isolated maternal hypothyroxinemia identified in the first half of pregnancy [J].
Casey, Brian M. ;
Dashe, Jodi S. ;
Spong, Catherine Y. ;
McIntire, Donald D. ;
Leveno, Kenneth J. ;
Cunningham, Gary F. .
OBSTETRICS AND GYNECOLOGY, 2007, 109 (05) :1129-1135
[26]   Thyroid disease in pregnancy [J].
Casey, Brian M. ;
Leveno, Kenneth J. .
OBSTETRICS AND GYNECOLOGY, 2006, 108 (05) :1283-1292
[27]   Subclinical hyperthyroidism and pregnancy outcomes [J].
Casey, Brian M. ;
Dashe, Jodi S. ;
Wells, C. Edward ;
McIntire, Donald D. ;
Leveno, Kenneth J. ;
Cunningham, F. Gary .
OBSTETRICS AND GYNECOLOGY, 2006, 107 (02) :337-341
[28]   Maternal thyroid hypofunction and pregnancy outcome [J].
Cleary-Goldman, Jane ;
Malone, Fergal D. ;
Lambert-Messerlian, Geralyn ;
Sullivan, Lisa ;
Canick, Jacob ;
Porter, T. Flint ;
Luthy, David ;
Gross, Susan ;
Bianchi, Diana W. ;
D'Alton, Mary E. .
OBSTETRICS AND GYNECOLOGY, 2008, 112 (01) :85-92
[29]   Revised American Thyroid Association Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer [J].
Cooper, David S. ;
Doherty, Gerard M. ;
Haugen, Bryan R. ;
Kloos, Richard T. ;
Lee, Stephanie L. ;
Mandel, Susan J. ;
Mazzaferri, Ernest L. ;
McIver, Bryan ;
Pacini, Furio ;
Schlumberger, Martin ;
Sherman, Steven I. ;
Steward, David L. ;
Tuttle, R. Michael .
THYROID, 2009, 19 (11) :1167-1214
[30]   Hyperthyroidism [J].
Cooper, DS .
LANCET, 2003, 362 (9382) :459-468