Abstract

Thyroid disorders are common in women during pregnancy. If left untreated, both hypothyroidism and hyperthyroidism are associated with adverse effects on pregnancy and fetal outcomes. It is important to correctly identify these disorders and treat them appropriately to prevent pregnancy-related complications. Levothyroxine is the indicated treatment for hypothyroidism, and thionamides are the treatment of choice for hyperthyroidism; thyroidectomy may be indicated in select cases. When thyroid cancer is diagnosed during pregnancy, a decision must be made regarding performing thyroidectomy during the pregnancy or postponing surgical resection until the postpartum period. Radioactive iodine is absolutely contraindicated during pregnancy and lactation.

Links

Publisher Full Text

Publisher Full Text

Authors

Yazbeck CF, Sullivan SD

Institution

Division of Endocrinology, University of Pittsburgh Medical Center, Pittsburgh, PA 15261, USA.

Source

The Medical clinics of North America 96:2 2012 Mar pg 235-56

MeSH

Abortion, Spontaneous
Diet
Female
Hormone Replacement Therapy
Humans
Hypothyroidism
Iodine
Maternal Welfare
Pre-Eclampsia
Pregnancy
Pregnancy Complications
Premature Birth
Prenatal Care
Thyroid Function Tests
Thyroid Hormones
Thyroxine
Trace Elements
Vitamins
Women's Health

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22443973