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Managing Thyroid Disease During and After Pregnancy: Guidelines

By , About.com Guide

Updated March 23, 2012

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Screening for Thyroid Dysfunction in Pregnant Women: Guidelines
Managing Thyroid Disease During and After Pregnancy: Guidelines
While the guidelines do not consider universal thyroid screening in pregnant women justifiable, they do suggest screening and evaluation among women who face a higher risk of thyroid disease. Those at high risk for thyroid disease during pregnancy include women:
  • with a personal history of thyroid dysfunction and/or thyroid surgery
  • with a family history of thyroid disease
  • with a goiter
  • with thyroid antibodies
  • with symptoms or clinical signs that may suggest hypothyroidism
  • with type I diabetes
  • with a history of either miscarriage or preterm delivery
  • with other autoimmune disorders that are often linked to autoimmune thyroid problems, such as: vitiligo, adrenal insufficiency, hypoparathyroidism, atrophic gastritis, pernicious anemia, systemic sclerosis, systemic lupus erythematosus and Sjogren's syndrome
  • with infertility
  • who have previously received radiation to the head or neck area as a cancer treatment, or who have had multiple dental x-rays
  • who are morbidly obese, which is defined as a body mass index (BMI) of over 40, or a body weight that is 20% or more over ideal body weight
  • who are age 30 or older
  • who have been treated with amiodarone (Cordarone) for heart rhythm irregularities
  • who have been treated with lithium
  • who, in the previous six weeks, have been exposed to iodine in a medical test contrast agent

Source:

Stagnaro-Green, Alex, et. al. "Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and Postpartum." Thyroid. Volume 21, Number 10, 2011 (Online) Photos: Clipart.com

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