Federal government websites often end in. Before sharing sensitive information, make sure you're on a federal government site. The site is secure. NCBI Bookshelf. Kevin Sorah ; Thomas L. Authors Kevin Sorah 1 ; Thomas L. Alderson 2. Hyperthyroidism is an uncommon condition that complicates approximately 0. The condition is marked by increased levels of circulating thyroid hormones, T4 and T3, as well as a decreased level of thyroid-stimulating hormone TSH , also known as thyrotropin.
Though relatively rare, identification and treatment of overt hyperthyroidism are important to mitigate maternal and fetal complications. This activity reviews the evaluation and management of hyperthyroidism in pregnancy and explains the role of the interprofessional team in managing patients with this condition. Objectives: Identify the etiology of hyperthyroidism in pregnancy. Describe the appropriate evaluation of hyperthyroidism in pregnancy.
Review the management options for hyperthyroidism in pregnancy. Describe the importance of improving care coordination among the interprofessional team to improve outcomes for patients affected by hyperthyroidism in pregnancy. Access free multiple choice questions on this topic. However, up to half of all pregnancies in the United States are unplanned, making an early diagnosis of thyroid dysfunction imperative.
The overall prevalence of Grave disease is 0. For example, hyperthyroidism due to thyroid nodules is much less likely in women under the age of 40, with an incidence of less than 0. Throughout pregnancy, multiple physiologic changes contribute to fluctuating levels of thyroid hormones.
Excessive function by this enzyme can lead to hypothyroidism. Typically, this effect is outweighed by increased hCG production in early pregnancy, leading to a net increase in free T4 with a decreased median TSH and reference range. There is also an increased dietary iodine requirement, from micrograms to micrograms daily, due to increased thyroid hormone synthesis during pregnancy.
