OB Grand Rounds: Fellow Presentation: Thyroid Disease in Pregnancy

presented by Anastasia R. Klick, MD, MPH, FM-OB Fellow

Thyroid disease in pregnancy has significant potential impacts in pregnancy, for both mother and fetus. This grand rounds presentation will review the fundamentals of thyroid physiology and pathology in pregnancy, and instruct participants in diagnosing and treating thyroid disease in pregnancy including hypothyroidism, hyperthyroidism, thyroid antibody positivity, and postpartum thyroiditis. 

Desired Outcomes:

• Understand the basics of physiology of thyroid hormones and thyroid disease in pregnancy, and potential consequences of untreated hyper and hypothyroidism for mother and fetus.
• Define hypothyroidism and hyperthyroidism in pregnancy based on TSH and T3/T4 lab results.
• Identify indications for treatment of overt hypothyroidism, subclinical hypothyroidism, thyroid antibody positivity, and hyperthyroidism in pregnancy.
• Understand fundamentals of medical treatment of thyroid disease in pregnancy including initial dosing, timing of laboratory testing, and adjustment of medications.
• Identify and treat postpartum thyroiditis.
• Identify appropriate situations in to refer patients to endocrinology.

  CME Activity Flyer (PDF)