Document Detail


Maternal thyroid function: interpretation of thyroid function tests in pregnancy.
MedLine Citation:
PMID:  9103946     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thyroid status is frequently assessed during pregnancy, both to evaluate suspected thyroid abnormalities, and to monitor the status, of pre-existing thyroid disease. However, the production, circulation, and disposal of thyroid hormone are all altered in pregnancy. Interpretation of thyroid function studies in the pregnant patient must be performed based on an understanding of the normal physiologic changes at each stage of pregnancy. Examples of pregnancy-associated changes include, estrogen-stimulated increase in serum thyroxine binding globulin, chorionic gonadotropin stimulated T4 and T3 production from the thyroid gland, and accelerated degradation of thyroid hormone by the placenta. The serum-TSH alone is usually not adequate to assess thyroid status in pregnancy, and the various conditions that can effect this measurement are described. The pattern of thyroid studies in pregnancy is important in diagnosing thyroid disease, and it may indicate physiologic adaptations to optimize maternal thyroid status for fetal development.
Authors:
G A Brent
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Clinical obstetrics and gynecology     Volume:  40     ISSN:  0009-9201     ISO Abbreviation:  Clin Obstet Gynecol     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-06-24     Completed Date:  1997-06-24     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0070014     Medline TA:  Clin Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  3-15     Citation Subset:  IM    
Affiliation:
Department of Medicine, West Los Angeles VA Medical Center 90073, USA.
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Pregnancy / metabolism*
Pregnancy Complications / diagnosis*,  metabolism
Reference Values
Thyroid Diseases / diagnosis*,  metabolism
Thyroid Function Tests*
Thyroid Gland / metabolism*
Thyroid Hormones / physiology*
Grant Support
ID/Acronym/Agency:
R01-DK43714/DK/NIDDK NIH HHS
Chemical
Reg. No./Substance:
0/Thyroid Hormones

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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