Recommendations on prenatal screening and the connections to other diseases such as thyroid dysfunction

Abstract: The aim of general maternal-foetal care is to ensure an uncomplicated birth of a healthy baby to a healthy mother. There is a large range of screening tests used during pregnancy: for gestational diabetes, infection, rhesus-D status, thyroid dysfunction, as well as other tests. An important part of prenatal care is the screening of major aneuploidies, primarily for Down’s syndrome. This screening is possible in either the first or second trimester, or in both. Management of this type of screening is very similar around the world. Hypothyroidism can affect the psychomotor development of the child. Thyroid-stimulating hormone (TSH), autoantibodies against thyroperoxidase (TPOAb), and free thyroxin (FT4) were determined within our group of 7530 pregnant women. Elevated concentrations of TSH were found in 5.1%, suppression was found in 2.9% and 11.5% were TPOAb positive. Either a familial or personal history of thyroid or autoimmune diseases was present in 58.3% of those women who tested positive on any thyroid test. At minimum, 40% of women TPOAb positive during pregnancy have some kind of thyroid disorders after delivery. These results support the efficacy of general thyroid function screening in early pregnancy, as well as the follow-up after delivery of those women who are positive.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Recommendations on prenatal screening and the connections to other diseases such as thyroid dysfunction ; volume:50 ; number:7 ; year:2012 ; pages:1211-1220
Clinical chemistry and laboratory medicine ; 50, Heft 7 (2012), 1211-1220

Urheber
Springer, Drahomira
Potlukova, Eliska
Limanova, Zdenka
Zima, Tomas

DOI
10.1515/cclm-2011-0598
URN
urn:nbn:de:101:1-2022053114453242537805
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:30 MESZ

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Beteiligte

  • Springer, Drahomira
  • Potlukova, Eliska
  • Limanova, Zdenka
  • Zima, Tomas

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