News of clinical recommendations on diagnostics and treatment of subclinical hypothyroidism in pregnant women


DOI: https://dx.doi.org/10.18565/therapy.2018.5.61-65

T.JU. Demidova, O.V. Balutina, E.JU. Gritzkevich

Department of endocrinology of the general medicine faculty of FSBEI of Higher Education «N.I. Pirogov Russian national research medical university» of the Ministry of Healthcare of Russia
Diseases of the thyroid gland during pregnancy are a worldwide clinical problem. Since the publication by the American Thyroid Association (ATA) in 2011 the latest clinical guidelines for this pathology, many new clinical and scientific achievements in this field have been occurred. New published recommendations give clinicians, researchers, patients and representatives of the health care system contemporary ideas for of current management of female patients with thyroid disease during pregnancy and the postpartum period. Despite the fact that medical care must be individualized, these paradigms are optimal for use in medical practice in the management of patients with thyroid gland dysfunction.
Keywords: pregnancy, thyroid and pregnancy, thyroid function studies, subclinical hypothyroidism, pregnancy and hypothyroidism
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Literature

  • Фадеев В.В. По материалам клинических рекомендаций Европейской тиреоидной ассоциации по диагностике и лечению субклинического гипотиреоза у беременных женщин и детей. Клиническая и экспериментальная тиреоидология, 2014, т. 10, №3. – С. 20-26.
  • Li C., Shan Z., Mao J., Wang W., Xie X., Zhou W., Li C., Xu B., Bi L., Meng T., Du J., Zhang S., Gao Z., Zhang X., Yang L., Fan C., Teng W. 2014 Assessment of thyroid function during first-trimester pregnancy: what is the rational upper limit of serum TSH during the first trimester in Chinese pregnant women? J Clin Endocrinol Metab 99: 73–79.
  • Bestwick J.P., John R., Maina A., Guaraldo V., Joomun M., Wald N.J., Lazarus J.H. 2014 Thyroid stimulating hormone and free thyroxine in pregnancy: expressing concentrations as multiples of the median (MoMs). Clin Chim Acta 430: 33–37.
  • Erik K. Alexander, Elizabeth N. Pearce, Gregory A. Brent, Rosalind S. Brown, Herbert Chen, Chrysoula Dosiou, William A. Grobman, Peter Laurberg,John H. Lazarus, Susan J. Mandel,Robin P. Peeters, and Scott Sullivan. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. https://www.liebertpub.com/doi/full/10.1089/thy.2016.0457
  • Abalovich M., Mitelberg L., Allami C., Gutierrez S., Alcaraz G., Otero P., Levalle O. 2007 Subclinical hypothyroidism and thyroid autoimmunity in women with infertility. Gynecol Endocrinol 23: 279–283.
  • Glinoer D., Riahi M., Grun J.P., Kinthaert J. 1994 Risk of subclinical hypothyroidism in pregnant women with asymptomatic autoimmune thyroid disorders. J Clin Endocrinol Metab 79: 197–204.
  • Negro R., Schwartz A., Gismondi R., Tinelli A., Mangieri T., Stagnaro-Green A. 2010 Universal screening versus case finding for detection and treatment of thyroid hormonal dysfunction during pregnancy. J Clin Endocrinol Metab 95: 1699–1707.
  • Wiersinga W., Duntas L., Fadeyev V., Nygaard B., Vanderpump M. 2012 2012 ETA guidelines: the use of L-T4 + L-T3 in the treatment of hypothyroidism. Eur Thyroid J 1: 55–71.


    • About the Autors

    Tatyana Ju. Demidova, MD, professor, head of the Department of endocrinology of the general medicine faculty of FSBEI of Higher Education «N.I. Pirogov Russian national research medical university» of the Ministry of Healthcare of Russia. Tel .: +79166700212. E-mail: t.y.demidova@gmail.com
    Olga V. Balutina, resident of the Department of endocrinology of the general medicine faculty of FSBEI of Higher Education «N.I. Pirogov Russian national research medical university» of the Ministry of Healthcare of Russia. Tel .: +79264266405. E-mail: lesek93@gmail.com
    Elena Ju. Gritzkevich, assistant of the Department of endocrinology of the general medicine faculty of FSBEI of Higher Education «N.I. Pirogov Russian national research medical university» of the Ministry of Healthcare of Russia. Tel.: +79856415243. E-mail: genyan.7@mail.ru

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