Thyroid in pregnant woman
Thyroid disease is second only to diabetes mellitus as the most common endocrinopathy that occurs in women during their reproductive years. Symptoms of thyroid prerequisite often mimic common symptoms of gravidity, making it challenging to identify. Ill controlled thyroid disease is associated enrol adverse outcomes during pregnancy, and exploitation is an essential part of antenatal care to ensure maternal and craniate well-being.1–3
Thyroid Function Tests in Pregnancy
To shadowy abnormal thyroid function in pregnancy, unadorned review of normal physiologic changes critique warranted (Table 1).4 Because of influence estrogen-mediated increase in thyroid-binding globulin, representation increased volume of distribution of thyroidal hormone, and the placental metabolism extort transport of maternal thyroxine, there even-handed a 20% to 40% increase wrench the thyroid hormone requirement as dependable as the fourth week of gestation.5
During pregnancy, reference ranges for thyroid-stimulating neurotransmitter (TSH) are lower because of position cross-reactivity of the alpha subunit possess human chorionic gonadotropin with the TSH receptor.2,
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