title: [Management of thyroid diseases during pregnancy].
abstract: The management of thyroid disorders during pregnancy is one of the most frequently disputed problems in modern endocrinology. It is widely known that thyroid dysfunction may result in subfertility, and, if inadequately treated during pregnancy, may cause obstetrical complications and influence fetal development. The 2007 Endocrine Society Practice Guideline endorsed with the participation of the Latino America Thyroid Association, the American Thyroid Association, the Asia and Oceania Thyroid Association and the European Thyroid Association, greatly contributed towards uniformity of the management of thyroid disorders during pregnancy and postpartum. Despite the tremendous progress in knowledge on the mutual influence of pregnancy and thyroid in health and disease, there are still important areas of uncertainty. There have been at least a few important studies published in the last 3 years, which influenced the thyroidal care of the expecting mother. It should also be remembered that guidelines may not always be universally applied in all populations with different ethnical, socio-economical, nutritional (including iodine intake) background or exposed to different iodine prophylaxis models. The Task Force for development of guidelines for thyroid dysfunction management in pregnant women was established in 2008. The expert group has recognized the following tasks: development of the coherent model of the management of thyroid dysfunction in pregnant women, identification of the group of women at risk of thyroid dysfunction, who may require endocrine care in the preconception period, during pregnancy and postpartum - that is in other words, the development of Polish recommendations for targeted thyroid disorder case finding during pregnancy, and the development of Polish trimester-specific reference values of thyroid hormones. Comprehensive Polish guidelines developed by the Task Force are to systematize the management of the thyroid disorders in pregnant women in Poland.
authors: Department of Endocrinology, Jagiellonian University, Medical College, Krakow, Poland. alahub@cm-uj.krakow.pl
authors: Alicja
authors: A
authors: Hubalewska-Dydejczyk
authors: Andrzej
authors: A
authors: Lewiński
authors: Andrzej
authors: A
authors: Milewicz
authors: Stanisław
authors: S
authors: Radowicki
authors: Ryszard
authors: R
authors: Poręba
authors: Małgorzata
authors: M
authors: Karbownik-Lewińska
authors: Marta
authors: M
authors: Kostecka-Matyja
authors: Małgorzata
authors: M
authors: Trofimiuk-Müldner
authors: Dorota
authors: D
authors: Pach
authors: Arkadiusz
authors: A
authors: Zygmunt
authors: Elżbieta
authors: E
authors: Bandurska-Stankiewicz
authors: Ewa
authors: E
authors: Bar-Andziak
authors: Tomasz
authors: T
authors: Bednarczuk
authors: Monika
authors: M
authors: Buziak-Bereza
authors: Krzysztof
authors: K
authors: Drews
authors: Małgorzata
authors: M
authors: Gietka-Czernel
authors: Maria
authors: M
authors: Górska
authors: Helena
authors: H
authors: Jastrzębska
authors: Roman
authors: R
authors: Junik
authors: Janusz
authors: J
authors: Nauman
authors: Marek
authors: M
authors: Niedziela
authors: Alfred
authors: A
authors: Reroń
authors: Krzysztof
authors: K
authors: Sworczak
authors: Anhelli
authors: A
authors: Syrenicz
authors: Wojciech
authors: W
authors: Zgliczyński
mesh_terms: D005260:Female; D047109:Fetal Development / Q000187:drug effects; D006801:Humans; D008431:Maternal-Fetal Exchange; D011044:Poland; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D013959:Thyroid Diseases / Q000628:therapy*; D013963:Thyroid Hormones / Q000378:metabolism*
chemical_list: D013963:Thyroid Hormones