000			02820nam a22005657a 4500
008			130916s20122012 xxu||||| |||| 00| 0 eng dOvid Technologies
022			_a0025-7125
040			_aOvid MEDLINE(R)
099			_a22443973
245			_aThyroid disorders during pregnancy. [Review]
251			_aMedical Clinics of North America. 96(2):235-56, 2012 Mar.
252			_aMed Clin North Am. 96(2):235-56, 2012 Mar.
253			_aThe Medical clinics of North America
260			_c2012
260			_fFY2012
266			_d2013-09-17
501			_aAvailable online from MWHC library: 1996 - present, Available in print through MWHC library: 1999 - 2006
520			_aThyroid disorders are common in women during pregnancy. If left untreated, both hypothyroidism and hyperthyroidism are associated with adverse effects on pregnancy and fetal outcomes. It is important to correctly identify these disorders and treat them appropriately to prevent pregnancy-related complications. Levothyroxine is the indicated treatment for hypothyroidism, and thionamides are the treatment of choice for hyperthyroidism; thyroidectomy may be indicated in select cases. When thyroid cancer is diagnosed during pregnancy, a decision must be made regarding performing thyroidectomy during the pregnancy or postponing surgical resection until the postpartum period. Radioactive iodine is absolutely contraindicated during pregnancy and lactation. Copyright A 2012 Elsevier Inc. All rights reserved.
546			_aEnglish
650			_a*Hypothyroidism/dt [Drug Therapy]
650			_a*Pregnancy Complications/dt [Drug Therapy]
650			_a*Prenatal Care/mt [Methods]
650			_a*Women's Health
650			_aAbortion, Spontaneous/pc [Prevention & Control]
650			_aDiet
650			_aFemale
650			_aHormone Replacement Therapy
650			_aHumans
650			_aHypothyroidism/co [Complications]
650			_aHypothyroidism/di [Diagnosis]
650			_aIodine/tu [Therapeutic Use]
650			_aMaternal Welfare
650			_aPre-Eclampsia/pc [Prevention & Control]
650			_aPregnancy
650			_aPregnancy Complications/di [Diagnosis]
650			_aPremature Birth/pc [Prevention & Control]
650			_aThyroid Function Tests
650			_aThyroid Hormones/tu [Therapeutic Use]
650			_aThyroxine/tu [Therapeutic Use]
650			_aTrace Elements/tu [Therapeutic Use]
650			_aVitamins/tu [Therapeutic Use]
651			_aMedStar Washington Hospital Center
656			_aMedicine/Endocrinology
657			_aJournal Article
657			_aReview
700			_aSullivan, Shannon D
790			_aSullivan SD, Yazbeck CF
856			_uhttp://dx.doi.org/10.1016/j.mcna.2012.01.004 _zhttp://dx.doi.org/10.1016/j.mcna.2012.01.004
942			_cART _dArticle
999			_c1351 _d1351