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Indications for treatment of subclinical hypothyroidism and isolated hypothyroxinaemia in pregnancy

  • Peter N. Taylor*
  • , Ilaria Muller
  • , Melanie Nana
  • , Ines Velasco
  • , John H. Lazarus
  • *Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Thyroid hormones are essential for maintaining a pregnancy and optimal fetal neurological development. Pregnancy places additional demands on the thyroid axis and around 5% of women who have their thyroid function checked during gestation will have borderline low thyroid function (subclinical hypothyroidism or isolated hypothyroxinemia) identified. These borderline low thyroid states are associated with adverse obstetric and offspring outcomes. Whilst it is well established that overt hypothyroidism requires treatment with levothyroxine, it is less clear whether there is any benefit of treating borderline low thyroid states. This review summarizes the potential indications for treatment of subclinical hypothyroidism and isolated hypothyroxinemia.

Original languageEnglish
Article number101436
JournalBest Practice and Research: Clinical Endocrinology and Metabolism
Volume34
Issue number4
DOIs
Publication statusPublished - Jul 2020

Bibliographical note

Publisher Copyright:
© 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • isolated hypothyroxinemia
  • levothyroxine
  • pregnancy
  • screening
  • subclinical hypothyroidism

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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