Thyroid function: new guidance for the diagnosis and management of thyroid diseases in pregnancy.

摘要

ew clinical guidelines for the diagnosis and treatment of thyroid disease in pregnancy have been published in the journal Thyroid."The guidelines provide recommendations on how to diagnose and treat the entire spectrum of thyroid abnormalities that can present during pregnancy or in the postpartum period," says Alex Stagnaro-Green, Chair of the American Thyroid Association task force charged with developing the guidelines. "Thyroidologists, obstetricians and midwives were included on the task force to ensure widespread acceptance and adoption of the guidelines."Thyroid disease in women of childbearing age is relatively frequent, and pregnancy, as the task force points out, puts additional stress on the thyroid gland. The consequence is hypothyroidism in pregnant women with limited thyroidal reserve or iodine deficiency, and postpartum thyroiditis in women with underlying autoimmune thyroid disease who were euthyroid before conception.