[Post partum thyroiditis: is early detection of risk patients during pregnancy worthwhile?].
This short review summarizes the arguments for and against a screening for post-partum thyroiditis in early pregnancy: Measurement of circulating TPO (thyro-peroxydase) antibodies in early pregnancy seems a valid screening method for detecting persons at risk. TPO positive mothers seem to have, moreover, an increased risk to develop post-partial depression or symptoms of thyroid disease even without alteration of thyroid function. In addition, a higher frequency of miscarriages has been described in such patients. In contrast to these arguments in favour of performing such a screening is the fact that post-partum thyroiditis usually has only mild clinical symptoms and is a self-limiting disease.
Weissel
M
M
Universitätsklinik für Innere Medizin III, Wien.
D019052:Depression, Postpartum / Q000209:etiology / Q000517:prevention & control; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008403:Mass Screening; D011247:Pregnancy; D011644:Puerperal Disorders / Q000209:etiology / Q000517:prevention & control*; D012307:Risk Factors; D013960:Thyroid Function Tests; D013967:Thyroiditis, Autoimmune / Q000209:etiology / Q000517:prevention & control*