title: [Insufficient knowledge about mild TSH elevation during pregnancy. Still too early for screening within the Swedish maternity health system].
abstract: Guidelines of the Swedish Society of Obstetricians and Gynecologists suggest screening for thyroid disease in early pregnancy in accordance with some international guidelines. A recommendation to treat all pregnant women with an increase of serum TSH above the trimester specific reference limit with levothyroxine is included. In a commentary on these guidelines from the authors, published in this issue of Läkartidningen, a more cautious approach to this controversial standpoint is noticed. Until further experience is gained and the scientific problem is resolved it is unjustified to implement a broad sceening procedure for thyroid disease in the Swedish maternity health system.
authors: Medicinkliniken - Västerås, Sweden Medicinkliniken - Västerås, Sweden.
authors: Rolf
authors: R
authors: Jansson
authors: Sektionen för endokrinologi, metabolism och diabetes - Akademiska sjukhuset Uppsala Universitet Uppsala, Sweden Sektionen för endokrinologi, metabolism och diabetes - Akademiska sjukhuset Uppsala, Sweden.
authors: F Anders
authors: FA
authors: Karlsson
mesh_terms: D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000097:blood / Q000150:complications / Q000175:diagnosis; D008403:Mass Screening; D008427:Maternal Health Services; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011248:Pregnancy Complications; D013548:Sweden; D013972:Thyrotropin / Q000097:blood*
chemical_list: D013972:Thyrotropin