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148 Thyroid Disease in Pregnancy
148 Thyroid Disease in Pregnancy
P RACTICE BULLET IN
clinical management guidelines for obstetrician – gynecologists
Number 148, April 2015 (Replaces Practice Bulletin Number 37, August 2002 and
Committee Opinion Number 381, October 2007)
Committee on Practice Bulletins—Obstetrics. This Practice Bulletin was developed by the Committee on Practice Bulletins—Obstetrics with the assis-
tance of Brian M. Casey, MD. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care. These
guidelines should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be warranted based on the needs
of the individual patient, resources, and limitations unique to the institution or type of practice.
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Is there a role for screening or testing for Routine measurements of thyroid function are not
thyroid autoantibodies in pregnancy? recommended in patients with hyperemesis gravi-
darum unless other signs of overt hyperthyroidism
Few studies demonstrate benefits from the identifica- are evident.
tion and treatment of euthyroid pregnant women who
have thyroid autoantibodies. Thus, universal screen- Indicated testing of thyroid function should be per-
formed in women with a personal history of thyroid
ing for thyroid autoantibodies in pregnancy currently
disease or symptoms of thyroid disease.
is not recommended by the American College of
Obstetricians and Gynecologists, the Endocrine Society,
the American Association of Clinical Endocrinologists,
or the American Thyroid Association (16, 33, 34, 53).
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