MENA 2024 Recordings-Thyroid Disease in Pregnancy

Video Transcription

Video Summary

The presentation focuses on thyroid disorders during pregnancy, centering around the 2017 guidelines and emerging evidence that has led to some practice adjustments. It explains the critical role of thyroid hormone in early fetal and placental development and highlights the increased demands on the maternal thyroid gland during pregnancy. The speaker outlines the importance of maintaining euthyroid status before and during pregnancy to reduce complications such as infertility, miscarriage, and placental development issues. Screening relies primarily on TSH levels, with caution regarding subclinical hypothyroidism as overdiagnosis can occur using outdated thresholds. The presentation also discusses the management of hypothyroidism and hyperthyroidism, stressing tailored treatment approaches. Regarding subclinical hypothyroidism, evidence suggests limited benefits from treatment, especially later in pregnancy. The need for unified, localized reference ranges in defining normal and abnormal thyroid function during pregnancy is emphasized to ensure consistent diagnosis and management.

Asset Subtitle

Dr. Mohammed Bashir

Keywords

thyroid disorders

pregnancy

2017 guidelines

euthyroid status

subclinical hypothyroidism

thyroid hormone