title: Obstetric controversies in thyroidology.
abstract: It is well known that thyroid disorders commonly affect women. The care of pregnant women affected by thyroid disease is an important clinical challenge for endocrinologists. Hypothyroidism is the commonest problem, and maternal hypothyroxinemia has been linked to adverse feto-maternal outcomes. This article would discuss the controversy regarding first-trimester thyroid hormone deficiency and fetal brain development. Certain obstetric controversies in the management of hyperthyroidism in pregnancy, including the indications of TSH receptor antibody measurements and fetal thyroid status monitoring would also be discussed.
authors.affiliation: Department of Endocrinology and Diabetes, Chellaram Diabetes Institute, Pune, India.
authors.forename: Ambika Gopalakrishnan
authors.initials: AG
authors.lastname: Unnikrishnan
authors.forename: Shilpa
authors.initials: S
authors.lastname: Bhosale
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kalra
keywords: Hypothyroidism; hyperthyroidism; pregnancy