Hypothyroidism and pregnancy
the importance of prenatal diagnosis, treatment and monitoring
DOI:
https://doi.org/10.5935/1415-2762.20170012Keywords:
Hypothyroidism, Thyroid Hormones, High-risk PregnancyAbstract
The research aimed to investigate the epidemiological profile of hypothyroidism during pregnancy in the city of Palmas-TO. This is a descriptive and exploratory
study of documentary type, with quantitative approach, carried out at the Public Maternity and at the Center for Sexual and Reproductive Health. The analysis
comprised 15 medical records of women with hypothyroidism, four from the Maternity and eleven from the Center for Sexual and Reproductive Health (CSRH).
The average maternal age was 30.2 years and average gestational age was 16.3 years; the personal history of this disease was present in 14 individuals; history of
abortions was present in 5; hormone replacement occurred in 4 pregnant women. Regarding the repeated hormonal assessments during pregnancy, there was
one case according to the medical records. We conclude that monitoring occurred in a timely manner with pertinent interventions; however, it is necessary to
improve the quality of the medical records, since missing information hindered the understanding of the prognosis of women under high-risk prenatal.
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References
Ministério da Saúde (BR). Agencia Nacional de Saúde Suplementar. Hipotireoidismo: diagnóstico. Rio de Janeiro: ANS; 2009. [citado em 2016 jan. 10]. Disponível em: http://diretrizes.amb.org.br/ans/hipotireoidismo-diagnostico.pdf
Matter LB. Incidência de hipotireoidismo auto-imune em pacientes atendidos na cidade de Três de Maio, RS. Rev Bras Análises Clín. 2005;37(3):163-8.
Sahay RK, Nagesh VS. Hypothyroidism in pregnancy. Indian J Endocrinol Metab. 2012[citado em 2016 jan. 10];16(3):364-70. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3354841/DOI: 10.4103/2230-8210.95667
Tehrani FR, Azizi F. Thyroid dysfunction and pregnancy outcomes. Iran J Reprod Med. 2015[citado em 2016 mar. 03];13(7):387-96. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609317/pdf/ijrm-13-387.pdf
Medeiros MFS, Cerqueira TLO, Amaral MTR, Poppe KG, AbreItalicoet al.FechaItalico An international survey of screening and management of hypothyroidism during pregnancy in Latin America. Arq Bras Endocrinol Metab. 2014[citado em 2016 fev. 05];58(9):906-11. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302014000900906&lng=en&nrm=iso&tlng=enDOI: 10.1590/0004-2730000003382.
Ministério da Saúde (BR). Departamento de Informática do SUS: epidemiológicas e morbidade. Brasília: MS; 2014. [citado em 2016 mar. 03]. Disponível em: HYPERLINK "http://datasus.saude.gov.br/
Ministério da Saúde (BR). Instituto Sírio-Libanês de Ensino e Pesquisa. Protocolos da atenção básica: saúde das mulheres. Brasília: MS ; 2016. [citado em 2016 mar. 05]. Disponível em: http://189.28.128.100/dab/docs/portaldab/publicacoes/protocolo_saude_mulher.pdf
Li C, AbreItalicoet al.FechaItalico High body mass index is an indicator of maternal hypothyroidism, hypothyroxinemia, and thyroidperoxidase antibody positivity during early pregnancy. Biomed Res Int. 2015[citado em 2016 mar. 01];351831:1-17. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530209/doi: 10.1155/2015/351831.
Dugo N. Thyroid physiology and common diseases in pregnancy: review of literature. J Prenat Med. 2012[citado em 2016 jan. 15];6(4):64-71. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3530964/
Sahay RK, Nagesh SRI. Hypothyroidism in pregnancy. Indian J Endocrinol Metab. 2012[citado em 2016 jan. 10];16(3):364-70. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3354841/DOI: 10.4103/2230-8210.95667.
Andersen SL, Wu CS, Olsen J. Maternal thyroid dysfunction and risk of seizure in the child: a danish nationwide cohort study. J Pregnancy. 2013[citado em 2016 fev. 01];2013(66705):1-10. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3745964/DOI: 10.1155/2013/636705.
Chang DLF, Leung AM, Braverman LE, Pearce EN. Thyroid testing during pregnancy at an Academic Boston Area Medical Center. J Clin Endocrinol Metab. 2011[citado em 2016 jan. 10];96(9):E1452-56. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417162/DOI: 10.1210/jc.2011-0360.
Seth S. Prevalence of thyroid dysfunction among women during the first trimester of pregnancy at a tertiary care hospital in Haryana. Indian J Endocrinol Metab. 2015[citado em 2016 mar. 05];19(3):416-9. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4366784/DOI: 10.4103/2230-8210.152791.
Santana FG, Santos FS, Feitosa MO, Farias FBB, Santos FCS, Neto MS, AbreItalicoet al.FechaItalico Relação entre a idade materna e condições perinatais no município de Augustinópolis-TO. Rev Pesq Saúde. 2010[citado em 2016 jan. 10];11(3):35-40. Disponível em: http://www.periodicoseletronicos.ufma.br/index.php/revistahuufma/article/view/782/496
Gonçalves ZR, Monteiro DLM. Complicações maternas em gestantes com idade avançada. Rev Femina. 2012 [citado em 2016 jan. 20];40(5):276-9. Disponível em: http://files.bvs.br/upload/S/0100-7254/2012/v40n5/a3418.pdf
Schust DJ. Maternal hypothyroidism and pregnancy loss: awaiting firm recommendations on testing and treatment. Gynecol Obstet (Sunnyvale). 2013[citado em 2016 fev. 10];3(1):1-3. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3825520/DOI: 10.4172/2161-0932.1000142.
Lazaro JH. Screening for thyroid dysfunction in pregnancy: is it worthwhile? J Thyroid Res. 2011[citado em 2016 jan. 20];2011(37012):1-4. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3134289/DOI: 10.4061/2011/397012.
Dumitrache E. Maternal and fetal complications of the hypothyroidism-related pregnancy. Maedica. 2010[citado em 2016 abr. 05];5(2):116-23. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3150006/
Dydejczyk AH, Poppe K. Treatment and screening of hypothyroidism in pregnancy: results of a European survey. European J Endocrinology. 2012[citado em 2016 mar. 05];(166):49-54. Disponível em: http://www.eje-online.org/content/166/1/49.longDOI: 10.1530/EJE-11-0729.
Shamsunnahar PA, Laita TR, Chowdhury SB. Overt and subclinical hypothyroidism among Bangladeshi pregnant women and its effect on fetomaternal outcome. Bang Med Res Counc Bull. 2014[citado em 2016 jan. 12];40(2):52-7. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/26415340
Negro R, AbreItalicoet al.FechaItalico Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and postpartum. Thyroid. 2011[citado em 2016 jan. 10];21(10):1081-125. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3472679/DOI: 10.1089/thy.2011.0087.
Bhattacharyya SS, Bhattacharyya A. Thyroid disorders in pregnancy. Indian J Endocrinol Metab. 2012[citado em 2016 abr. 10];16(Suppl 2):S167-70. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3603018/DOI: 10.4103/2230-8210.104031.
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