The Follow-Up of Thyroid Disease in 188 Pregnant Women According to the Guidelines of ATA (American Thyroid Association) 2017

Abstract

Background: Thyroid disease in pregnancy is a common clinical problem. Since the guidelines for the management of these disorders by the American Thyroid Association (ATA) were first published in 2011, significant clinical and scientific advances have occurred in the field. A major and substantial change in the new guidelines includes raising the upper limit in the normal thyroid function tests. For Thyroid Stimulating Hormone (TSH), the upper limit was 2.5 mU/L in the 2011 guidelines. Normal upper limit in pregnancy is raised to 4.0 mU/L in 2017 revision. In the present study, we evaluated our pregnant patients according to the ATA 2017 criteria. brain development is totally dependent on the maternal thyroid hormones [8]. Since congenital hypothyroidism is one of the most preventable causes of mental retardation, we insist on the necessity of frequent blood tests especially valid for the first 14 weeks. It is also vital to remember that iron and calci-

Cancer Treatment and Immunotherapy during Pregnancy

“…A proportion of 10% of thyroid cancer is diagnosed during gestation. This type of cancer is second in its frequency during gestation [ 42 ].…”