Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-05T01:50:45.719Z Has data issue: false hasContentIssue false

Chapter 55 - Thyroid Disease in Pregnancy

from Section 10 - Endocrine Disorders in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Michael A. Tsoukas ,
Ji Wei Yang  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
Get access

Summary

A 29-year-old primigravida is referred by her primary care provider to your tertiary center’s high-risk obstetrics unit for preconception counseling for known Graves’ disease.

Keywords

Preconception counselingGraves’ disease, pregnancyClinical manifestationsComorbiditiesInvestigationsTreatment, therapeutics, propylthiouracil, methimazole, carbimazole, radioiodine, toxicityThyroidectomyPerinatal risks, complications, maternal-fetal morbidity, adverse outcomeAntepartum, intrapartum, postpartum managementThyroid stormPostpartum thyroiditisHypothyroidism
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 705 - 717
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Suggested Readings

Alexander, EK, Pearce, EN, Brent, GA, et al. 2017. Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid. 2017;27(3):315–389. [Correction in Thyroid. 2017 Sep;27(9):1212]CrossRefGoogle ScholarPubMed
Illouz, F, Luton, D, Polak, M, et al. Graves’ disease and pregnancy. Ann Endocrinol (Paris). 2018;79(6):636–646.CrossRefGoogle ScholarPubMed
Spencer, L, Bubner, T, Bain, E, et al. Screening and subsequent management for thyroid dysfunction pre-pregnancy and during pregnancy for improving maternal and infant health. Cochrane Database Syst Rev. 2015;(9):CD011263.CrossRefGoogle Scholar
Okosieme, OE, Khan, I, Taylor, PN. Preconception management of thyroid dysfunction. Clin Endocrinol (Oxf). 2018;89(3):269–279.CrossRefGoogle ScholarPubMed
Lazarus, PN JH. Hypothyroidism in pregnancy. Endocrinol Metab Clin North Am. 2019;48(3):547–556.Google Scholar
Thyroid disease in pregnancy: ACOG Practice Bulletin No. 223. Obstet Gynecol. 2020;135(6):e261–e274.CrossRefGoogle Scholar
Wright, HV, Williams, DJ. Thyrotoxicosis in pregnancy. Fetal and Maternal Medicine Review 2013; 24:2 108–128.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×