Thyroid disease in pregnancy: A review of diagnosis, complications and management

doi:10.5317/wjog.v5.i1.66

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World Journal of Obstetrics and Gynecology

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2218-6220

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Obstet Gynecol. Feb 10, 2016; 5(1): 66-72
Published online Feb 10, 2016. doi: 10.5317/wjog.v5.i1.66

Table 3 Diagnosis and treatment of thyroid disease in pregnancy

	TSH	FT4	FT3	Rx	Goal of treatment
Hypothyroid	↑	↓	↓	Levothyroxine starting dose 1-2 mcg/kg daily	Keep TSH normal range
Hyperthyroid	↓	↑	↑	PTU 50-150 mg TID in first trimester methimazole 10-40 mg BID or TID after first trimester	Keep FT4 high normal “watch for agranulocytosis”

TSH: Thyroid stimulating hormone; FT3: Free T3; FT4: Free T3; BID: Twice daily; TID: Three times daily; PTU: Propylthiouracil.

Citation: Moore LE. Thyroid disease in pregnancy: A review of diagnosis, complications and management. World J Obstet Gynecol 2016; 5(1): 66-72
URL: https://www.wjgnet.com/2218-6220/full/v5/i1/66.htm
DOI: https://dx.doi.org/10.5317/wjog.v5.i1.66