[The importance of screening for thyroid dysfunction during pregnancy: pathophysiological background and practical implications].
Thyroid hormones are essential both for the physiological course of pregnancy and for the optimal differentiation of the embryonic tissues and foetal brain development. Overt and subclinical hypothyroidism constitutes a frequent cause of infertility, it carries along an increased risk of spontaneous abortion and premature birth, and it may lead to an impaired foetal brain development resulting in a worse psychoneurological outcome in the progeny. The repeatedly documented high prevalence of thyroid diseases in pregnancy warrants a realization of systematic screening for thyroid dysfunction during early stage of pregnancy or better before conception whenever possible. The Czech Endocrine Society attempts to implement such a systematic screening in the Czech Republic, although the particular aspects of the screening are still discussed.
Jiskra
J
J
III. Interní klinika 1. LF UK a VFN, Praha. jan.jiskra@seznam.cz
Límanová
Z
Z
Potluková
E
E
Antosová
M
M
D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications / Q000175:diagnosis; D007037:Hypothyroidism / Q000150:complications / Q000175:diagnosis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D013959:Thyroid Diseases / Q000150:complications / Q000175:diagnosis*