Interní Med. 2010; 12(4): 191-195
Pregnancy is connected with necessity to increase function of the thyroid, as thyroid hormones should supply not only pregnant women,
but predominantly fetus. For synthezis of thyroid hormones, increased supply of iodine is necessary. Pregnancy influences diagnosis
of thyroid disorders (increased total thyroxine level, changes of secretio of TSH due to effects of placental hormones) as well as therapy
(increase of iodine supply, increase of supplementary doses of thyroxine etc.). Even minimal changes of thyroid hormones and of iodine
saturation are harmful for optimal development of fetus (esp. its brain) and for course of pregnancy and labor. Screening of thyroid
disorders is pregnancy is still a matter of controversies: it should be performed in the risk groups only, or in all pregnant women?
Published: May 1, 2010 Show citation