Indonesian Clinical Practice Guidelines for the Management of Thyroid Dysfunction During Pregnancy

Authors

  • Dyah Purnamasari Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine University of Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Imam Subekti Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine University of Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • John M. F. Adam Department of Internal Medicine, Jaury Jusuf Putera Hospital, Makasar, Indonesia
  • Dicky Tahapary Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine University of Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia

Abstract

Untreated thyroid dysfunction during pregnancy increases morbidity in the mother and fetus. Anti-thyroid medication is the first-line therapy for hyperthyroidism during pregnancy. The diagnosis of thyroid dysfunction in pregnancy is complicated because of seemingly insignificant and non-specific symptoms which overlap with normal changes during pregnancy. Early detection and management should be done to prevent maternal and fetal complications.

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References

Glinoer D. The regulation of thyroid function in pregnancy: Pathways of endocrine adaptation from physiology to pathology. Endocr Rev 1997;18(3): 404-33.

Kariadi SHKS. Disfungsitiroidpadakehamilan. Dalam: Djokomoeljanto R, ed. Buku Ajar Tiroidologi Klinik. Balai Penerbit Universitas Diponegoro, Semarang, 2007.

Price A, Davies R, Heller R et al. Asian women are at increased risk of gestational thyrotoxicosis. J Clin Endocrinol Metab 1996;81(3):1160-3.

Burrow GN. Thyroid disease. In: Burrow GN, Ferris TF, eds. Medical complications during pregnancy. 4th ed. W.B. Saunders Company, Philadelphia, 1995.

Fantz CR, Dagogo-Jack S, Ladenson JH et al. Thyroid function during pregnancy. Clin Chem 1999;45(12):2250-8.

Lazarus JH, Premawardhana LD. Screening for thyroid disease in pregnancy. J Clin Pathol 2005;58(5):449-52.

Vaidya B, Anthony S, Bilous M et al. Detection of thyroid dysfunction in early pregnancy: Universal screening or targeted high-risk case finding? J Clin Endocrinol Metab 2007;92(1):203-7.

Abalovich M, Amino N, Barbour LA et al. Management of thyroid dysfunction during pregnancy and postpartum: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2007;92(8 Suppl):S1-47.

Kempers MJ, van Tijn DA, van Trotsenburg AS et al. Central congenital hypothyroidism due to gestational hyperthyroidism: Detection where prevention failed. J Clin Endocrinol Metab 2003;88(12):5851-7.

Shankar P, Kilvert A, Fox C. Changing thyroid status related to pregnancy. Postgrad Med J 2001; 77(911): 591-2.

Hirawan Supran. Kadar T4, ambilan T3 danindek stiroksinbebaspadawanita hamilsehattiap semester di RSCM. Tesis, Departemen Ilmu Penyakit Dalam, FKUI Jakarta, 1984.

Nikfar S, Koren G. Managing hypothyroidism during pregnancy. Can Fam Physician 2001;47:1555-6.

Toft A. Increased levothyroxine requirements in pregnancy—Why, when, and how much? N Engl J Med 2004;351(3):292-4.

Tamaki H, Amino N, Takeoka K et al. Thyroxine requirement during pregnancy for replacement therapy of hypothyroidism. Obstet Gynecol 1990;76(2):230-3.

Alexander EK, Marqusee E, Lawrence J et al. Timing and magnitude of increases in levothyroxine requirements during pregnancy in women with hypothyroidism. N Engl J Med2004;351(3): 241-9.

Published

2014-05-24

How to Cite

Purnamasari, D., Subekti, I., Adam, J. M. F., & Tahapary, D. (2014). Indonesian Clinical Practice Guidelines for the Management of Thyroid Dysfunction During Pregnancy. Journal of the ASEAN Federation of Endocrine Societies, 28(1), 18. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/46

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Feature Articles