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Management of Thyroid Dysfunction during Pregnancy and Postpartum: An Endocrine Society Clinical Practice Guideline

The Journal of Clinical Endocrinology & Metabolism · 2012 · Vol. 97(8) · pp. 2543–2565

Leslie De Groot✉(University of Rhode Island)Marcos Abalovich(Favaloro University)Erik K. Alexander(Harvard University)Nobuyuki Amino(Kuma Hospital)Linda A. Barbour(University of Colorado Denver)Rhoda H. Cobin(Icahn School of Medicine at Mount Sinai)Creswell J Eastman(University of Sydney)John H. Lazarus(Cardiff University)Dominique Luton(Assistance Publique – Hôpitaux de Paris)Susan J. Mandel(University of Pennsylvania)Jorge H. Mestman(University of Southern California)Joanne Rovet(Hospital for Sick Children)Scott Sullivan(Medical University of South Carolina)

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Abstract

Practice guidelines are presented for diagnosis and treatment of patients with thyroid-related medical issues just before and during pregnancy and in the postpartum interval. These include evidence-based approaches to assessing the cause of the condition, treating it, and managing hypothyroidism, hyperthyroidism, gestational hyperthyroidism, thyroid autoimmunity, thyroid tumors, iodine nutrition, postpartum thyroiditis, and screening for thyroid disease. Indications and side effects of therapeutic agents used in treatment are also presented.

Thyroid Disorders and Treatments Thyroid Cancer Diagnosis and Treatment Neuroendocrine Tumor Research AdvancesGuidelineMedicineThyroidPregnancyEndocrine systemFamily medicinePediatricsGynecologyObstetricsInternal medicine

MeSH terms

FemaleHumansHyperthyroidismPregnancyPregnancy ComplicationsPuerperal DisordersThyroid DiseasesThyroiditisPractice Guidelines as TopicEvidence-Based MedicinePostpartum Period