Hypothyroidism and pregnancy: new recommendations on the features of the diagnosis and treatment modality

Authors

  • O.V. Kaminskyi State Institution “National Research Centre for Radiation Medicine of the NAMS of Ukraine”, Kyiv, Ukraine
  • T.F. Tatarchuk State Institution “Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine”, Kyiv, Ukraine

DOI:

https://doi.org/10.22141/2224-0721.13.2.2017.100605

Keywords:

thyroid gland, pregnancy, hypothyroidism, diagnosis, treatment, iodine deficiency

Abstract

The pathology of the thyroid gland is quite common, especially in iodine deficiency regions, which include Ukraine. The probability of finding violations of the functional state of the thyroid gland in pregnant women is high, which increases the risks that burden pregnancy or make it impossible. The American Thyroid Association published new approaches to the management of pregnant women in 2017. Diagnostic and therapeutic approaches to such women are specified in them. It is noted that the normal range of thyroid-stimulating hormone (TSH) concentration in them differs from those in non-pregnant individuals and depends on the trimester of pregnancy. The detection of TSH level of more than 2.5–3.0 mIU/L is critical, indicates that women have hypothyroidism, which requires immediate replacement hormone therapy with L-thyroxine. Each pregnant woman should supplement her diet with additional intake of potassium iodide preparations at a dose of 150–200 μg daily throughout pregnancy and infant feeding.

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References

Published

2021-09-02

How to Cite

Kaminskyi, O., & Tatarchuk, T. (2021). Hypothyroidism and pregnancy: new recommendations on the features of the diagnosis and treatment modality. INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine), 13(2), 152–157. https://doi.org/10.22141/2224-0721.13.2.2017.100605

Issue

Section

Clinical Thyroidology