2012, Number 3
<< Back Next >>
Rev Cuba Endoc 2012; 23 (3)
Hypothyroidism and goiter in pregnancy
Hernández HMC, Martínez PH
Language: Spanish
References: 10
Page:
PDF size: 436.15 Kb.
ABSTRACT
Despite the rareness of the uncontrolled thyroid hypofunction in the pregnant woman, it may bring deleterious effects for the mother and her fetus, mainly when it is manifested. If early detected and adequately treated with levothyroxin, the risks are minimal. The doses to be used are enough to reach a thyrotropin level in accordance with the recommendations for each pregnancy trimester and they will be generally higher than those of the preconception phase. Goiter will be treated under some specific conditions and the same is valid for the postpartum thyroiditis. The patients without thyroid dysfunction, but with high positive antithyroid antibodies, should also be treated.
REFERENCES
Borremans CG, Perinetti HA. Embarazo y Enfermedades Tiroideas. Pren Méd Argent. 2003;90:232-43.
Macchia C, Sánchez J. Hipotiroidismo en el embarazo. Rev Colomb Obstet Ginecol. 2007;58(4):316-21.
Stagnaro-Green A. Overt hyperthyroidism and hypothyroidism during pregnancy. Clin Obstetric Gynecol. 2011;54(3):478-87.
Stagnaro-Green A, Abalovich M, Alexander E, Azizi F, Mestman J, Negro R, et al. Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and postpartum. Thyroid. 2011;21(10):1081-128.
Garber J, Cobin R, Gharib H, Hennessey J, Klein I, Mechanik J, et al. Clinical practice guidelines for hypothyroidism in adults: cosponsored by the American Association of Clinical Clinical Endocrinologists and the American Thyroid Association. Thyroid. 2012;11:1-207.
Stagnaro-Green A, Pearce E. Thyroid disorders in pregnancy. Nat Rev Endocrinol. 2012;8(11):650-8.
Glinoer D, Lemone M. Goiter and pregnancy: a new insight into old problem. Thyroid. 1992;2(1):65-72.
Berghout A, Wersinga W. Thyroid size and thyroid function during pregnancy: an analysis. Eur J Endocrinol. 1998;138:536-42.
Navarro D. Epidemiología de las enfermedades del tiroides en Cuba. Rev Cubana Endocrinol [serie en Internet]. 2004 [citado 26 de noviembre de 2012];15(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532004000100004&lng=es&nrm=iso&tlng=es
Khandelwal D, Tandon N. Overt and subclinical hypothyroidism. Drugs. 2012;72(1):17-34.