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Interpretation of Chinese and American Guidelines for Diagnosis and Treatment of Thyroid Diseases During Pregnancy

Received: 6 April 2021     Published: 24 May 2021
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Abstract

More and more studies have found that thyrotoxicosis and hypothyroidism are related to adverse pregnancy outcomes, and maternal thyroid diseases also have a certain impact on fetal development. Drugs used to treat maternal hyperthyroidism can pass through the placenta and affect fetal thyroid development and thyroid function, and may cause fetal development malformations . Due to the lack of in-depth knowledge of this disease, timely screening, medical consultation and treatment rates for thyroid diseases during pregnancy are relatively low. Like this, if the treatment is not timely, it may cause irreversible effects on the pregnancy process and the fetus, such as increasing the risk of high blood pressure during pregnancy, miscarriage, premature delivery, low birth weight, stillbirth, thyroid crisis and maternal congestive heart failure, and impairing the neurological and intellectual development of offspring. This article intends to provide a reference for clinicians in the standardized diagnosis and treatment of thyroid diseases during pregnancy and postpartum through a comparative analysis of the latest guidelines for the diagnosis and treatment of thyroid diseases during pregnancy in China and the United States in 2020. It is hoped that through this article, various related complications and risks of mothers, fetuses and pregnancy caused by abnormal thyroid function will be reduced, and the quality of the population will be improved.

Published in Science Discovery (Volume 9, Issue 4)
DOI 10.11648/j.sd.20210904.11
Page(s) 133-138
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Pregnancy, Thyroid Disease, Diagnosis and Treatment Norms, Guidelines

References
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[3] Thyroid Disease in Pregnancy: ACOG Practice Bulletin, Number 223. Obstet Gynecol, 2020, 135(6): e261-e274.
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[5] Li C, Shan Z, Mao J, et al. Assessment of thyroid function during first-trimester pregnancy: what is the rational upper limit of serum TSH during the first trimester in Chinese pregnant women? J Clin Endocrinol Metab, 2014, 99(1): 73-79.
[6] Cleary-Goldman J, Malone FD, Lambert-Messerlian G, et al. Maternal thyroid hypofunction and pregnancy outcome. Obstet Gynecol, 2008, 112(1): 85-92.
[7] Hales C, Taylor PN, Channon S, et al. Controlled Antenatal Thyroid Screening II: Effect of Treating Maternal Suboptimal Thyroid Function on Child Cognition. J Clin Endocrinol Metab, 2018, 103(4): 1583-1591.
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[9] Shi X, Han C, Li C, et al. Optimal and safe upper limits of iodine intake for early pregnancy in iodine-sufficient regions: a cross-sectional study of 7190 pregnant women in China. J Clin Endocrinol Metab, 2015, 100(4): 1630-1638.
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[13] Korevaar TIM, Muetzel R, Medici M, et al. Association of maternal thyroid function during early pregnancy with offspring IQ and brain morphology in childhood: a population-based prospective cohort study. Lancet Diabetes & Endocrinology, 2016, 4(1):35-43.
[14] Donnelly MA, Wood C, Casey B, et al. Early severe fetal Graves disease in a mother after thyroid ablation and thyroidectomy. Obstet Gynecol, 2015, 125(5): 1059-1062.
[15] Andersen SL, Olsen J, Wu CS, et al. Birth defects after early pregnancy use of antithyroid drugs: a Danish nationwide study. J Clin Endocrinol Metab, 2013, 98(11): 4373-4381.
[16] Seo GH, Kim TH, Chung JH. Antithyroid Drugs and Congenital Malformations: A Nationwide Korean Cohort Study. Ann Intern Med, 2018, 168(6): 405-413.
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[18] Ai Y, JaedukYoshimura N, Takuhiro Y, et al. Treatment of Graves' Disease with Antithyroid Drugs in the First Trimester of Pregnancy and the Prevalence of Congenital Malformation. Journal of Clinical Endocrinology & Metabolism, 2012, (7): 7.
[19] Tudela CM, Casey BM, Mcintire DD, et al. Relationship of Subclinical Thyroid Disease to the Incidence of Gestational Diabetes. Obstetrics & Gynecology, 2012, 119(5): 983-988.
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Cite This Article
  • APA Style

    Jiang Bohua, Tao Xinli, Ouyang Zhenbo, Yan Jiane. (2021). Interpretation of Chinese and American Guidelines for Diagnosis and Treatment of Thyroid Diseases During Pregnancy. Science Discovery, 9(4), 133-138. https://doi.org/10.11648/j.sd.20210904.11

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    ACS Style

    Jiang Bohua; Tao Xinli; Ouyang Zhenbo; Yan Jiane. Interpretation of Chinese and American Guidelines for Diagnosis and Treatment of Thyroid Diseases During Pregnancy. Sci. Discov. 2021, 9(4), 133-138. doi: 10.11648/j.sd.20210904.11

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    AMA Style

    Jiang Bohua, Tao Xinli, Ouyang Zhenbo, Yan Jiane. Interpretation of Chinese and American Guidelines for Diagnosis and Treatment of Thyroid Diseases During Pregnancy. Sci Discov. 2021;9(4):133-138. doi: 10.11648/j.sd.20210904.11

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  • @article{10.11648/j.sd.20210904.11,
      author = {Jiang Bohua and Tao Xinli and Ouyang Zhenbo and Yan Jiane},
      title = {Interpretation of Chinese and American Guidelines for Diagnosis and Treatment of Thyroid Diseases During Pregnancy},
      journal = {Science Discovery},
      volume = {9},
      number = {4},
      pages = {133-138},
      doi = {10.11648/j.sd.20210904.11},
      url = {https://doi.org/10.11648/j.sd.20210904.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sd.20210904.11},
      abstract = {More and more studies have found that thyrotoxicosis and hypothyroidism are related to adverse pregnancy outcomes, and maternal thyroid diseases also have a certain impact on fetal development. Drugs used to treat maternal hyperthyroidism can pass through the placenta and affect fetal thyroid development and thyroid function, and may cause fetal development malformations . Due to the lack of in-depth knowledge of this disease, timely screening, medical consultation and treatment rates for thyroid diseases during pregnancy are relatively low. Like this, if the treatment is not timely, it may cause irreversible effects on the pregnancy process and the fetus, such as increasing the risk of high blood pressure during pregnancy, miscarriage, premature delivery, low birth weight, stillbirth, thyroid crisis and maternal congestive heart failure, and impairing the neurological and intellectual development of offspring. This article intends to provide a reference for clinicians in the standardized diagnosis and treatment of thyroid diseases during pregnancy and postpartum through a comparative analysis of the latest guidelines for the diagnosis and treatment of thyroid diseases during pregnancy in China and the United States in 2020. It is hoped that through this article, various related complications and risks of mothers, fetuses and pregnancy caused by abnormal thyroid function will be reduced, and the quality of the population will be improved.},
     year = {2021}
    }
    

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    AU  - Jiang Bohua
    AU  - Tao Xinli
    AU  - Ouyang Zhenbo
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    DO  - 10.11648/j.sd.20210904.11
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    AB  - More and more studies have found that thyrotoxicosis and hypothyroidism are related to adverse pregnancy outcomes, and maternal thyroid diseases also have a certain impact on fetal development. Drugs used to treat maternal hyperthyroidism can pass through the placenta and affect fetal thyroid development and thyroid function, and may cause fetal development malformations . Due to the lack of in-depth knowledge of this disease, timely screening, medical consultation and treatment rates for thyroid diseases during pregnancy are relatively low. Like this, if the treatment is not timely, it may cause irreversible effects on the pregnancy process and the fetus, such as increasing the risk of high blood pressure during pregnancy, miscarriage, premature delivery, low birth weight, stillbirth, thyroid crisis and maternal congestive heart failure, and impairing the neurological and intellectual development of offspring. This article intends to provide a reference for clinicians in the standardized diagnosis and treatment of thyroid diseases during pregnancy and postpartum through a comparative analysis of the latest guidelines for the diagnosis and treatment of thyroid diseases during pregnancy in China and the United States in 2020. It is hoped that through this article, various related complications and risks of mothers, fetuses and pregnancy caused by abnormal thyroid function will be reduced, and the quality of the population will be improved.
    VL  - 9
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Author Information
  • Changsha County Maternal and Child Health Care Hospital, Changsha, China

  • Department of Gynecology, Xiangzhou District People's Hospital of Xiangyang City, Xiangyang, China

  • Department of Gynecology, Second People's Hospital of Guangdong Province, Guangzhou, China

  • Changsha County Maternal and Child Health Care Hospital, Changsha, China

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