怀孕和甲状腺 (全英文),TSH 值低于 2.5 流产率降低一半.pdfVIP

Pregnancy and Thyroid: Pregnancy and Thyroid: Screening, Assessment and Treatment Screening, Assessment and Treatment The Holy Family by Rubens, 1615 Thyroid Disorders: Recent Clinical Advances Thyroid Disorders: Recent Clinical Advances Case Presentation Case Presentation A 29 year old woman is seen by her A 29 year old woman is seen by her obstetrician. She is 6 weeks pregnant (first obstetrician. She is 6 weeks pregnant (first pregnancy). Her younger sister developed pregnancy). Her younger sister developed Hashimoto’s disease 5 years ago and has a Hashimoto’s disease 5 years ago and has a history of a preterm delivery. Knowing this history of a preterm delivery. Knowing this history the obstetrician performed thyroid history the obstetrician performed thyroid function tests on the patient with the function tests on the patient with the following results: TSH – 4.3 and positive following results: TSH – 4.3 and positive thyroid peroxidase and thyroglobulin thyroid peroxidase and thyroglobulin antibodies. antibodies. Case Presentation Case Presentation The patient is an avid reader of the internet The patient is an avid reader of the internet and presents with the following questions: and presents with the following questions: Is my TSH abnormal? Is my TSH abnormal? Is there a risk for pregnancy loss or PTD? Is there a risk for pregnancy loss or PTD? Will there be an impact on my child’s IQ? Will there be an impact on my child’s IQ? What can I do to decrease these risks? What can I do to decrease these risks? Pregnancy Pregnancy A Stress Test for the Thyroid A Stress Test for the Thyroid Thyroid