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Should all women be screened for thyroid dysfunction in pregnancy?

Taylor, Peter N., Okosieme, Onyebuchi E., Premawardhana, Lakdasa and Lazarus, John Henry 2015. Should all women be screened for thyroid dysfunction in pregnancy? Women's Health 11 (3) , pp. 295-307. 10.2217/whe.15.7

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Abstract

The subject of universal thyroid screening in pregnancy generates impassioned debate. Thyroid dysfunction is common, has significant adverse implications for fetal and maternal well-being, is readily detectable and can be effectively and inexpensively treated. Furthermore, the currently recommended case-finding strategy does not identify a substantially proportion of women with thyroid dysfunction thus favoring universal screening. On the other hand subclinical thyroid dysfunction forms the bulk of gestational thyroid disorders and the paucity of high-level evidence to support correction of these asymptomatic biochemical abnormalities weighs against universal screening. This review critically appraises the literature, examines the pros and cons of universal thyroid screening in pregnancy, highlighting the now strong case for implementing universal screening and explores strategies for its implementation.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: Future Health
ISSN: 1745-5057
Last Modified: 12 Jun 2019 09:25
URI: http://orca-mwe.cf.ac.uk/id/eprint/85367

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