Antepartum Care for Pregnant People with Overt Hypothyroidism, Subclinical Hypothyroidism, and Positive Thyroid Autoantibodies

Maternal thyroid hormones are critical for the growth and development of a healthy fetus. During pregnancy, maternal thyroid hormone production is increased to meet the demands of fetal growth. The purpose of this review is to provide clinicians with current evidence about possible adverse maternal...

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Bibliographic Details
Published in:Journal of midwifery & women's health 2022-05, Vol.67 (3), p.295-304
Main Authors: Mayhew, Caitlin E., Simonson, Kristin R., Ellsworth Bowers, Esther R.
Format: Article
Language:English
Subjects:
Autoantibodies
Female
Fetal growth
Fetuses
Hormones
Humans
Hypothyroidism
Hypothyroidism - diagnosis
Hypothyroidism - therapy
levothyroxine
Medical screening
Perinatal mortality
Pregnancy
Pregnancy Complications - prevention & control
Prenatal Care
Recurrent
recurrent pregnancy loss
subclinical hypothyroidism
thyroid autoantibodies
thyroid‐stimulating hormone
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Description
Summary:Maternal thyroid hormones are critical for the growth and development of a healthy fetus. During pregnancy, maternal thyroid hormone production is increased to meet the demands of fetal growth. The purpose of this review is to provide clinicians with current evidence about possible adverse maternal and fetal effects of hypothyroidism in pregnancy, including the role of hypothyroidism in recurrent pregnancy loss. In addition, clinical presentation, evidence‐based screening guidelines, and evidence‐based treatments are discussed.
ISSN:1526-9523
1542-2011
DOI:10.1111/jmwh.13306