Thyroid disorders in Pregnancy

Notes and new video on "Thyroid disorders in Pregnancy" Video Lecture: https://youtu.be/Wz703iQoC1Q Notes: 1. Overview of Thyroid disorders in Pregnancy - Notes https://shrtm.nu/s1h9 , Video chapter: 00:00 2. Maternal Thyroid function and the fetal brain development- Notes:https://shrtm.nu/FXHW, Video chapter : 10:37 3. Hypothyroidism in Pregnancy - Notes: https://shrtm.nu/Ey8c, Video chapter: 15:04 4. Thyrotoxicosis in Pregnancy - Notes: https://shrtm.nu/b3pa, Video chapter: 27:35 5. Take home messages: 38:18 Also available on the "Notes in Endocrinology app" for Android and iOS App Download: Apple iOS- https://shrtm.nu/H45n Android - https://shrtm.nu/SyBG Summary of the video: This video discusses the physiology of thyroid hormones in pregnancy, the implications of hypothyroidism and thyrotoxicosis, and the importance of appropriate treatment. Thyroid Physiology in Pregnancy: The video explains how thyroid hormone and iodine requirements increase during pregnancy. It highlights the changes in thyroid function values during pregnancy, emphasizing the importance of understanding these differences from non-pregnancy states. Hypothyroidism in Pregnancy: Hypothyroidism in pregnancy can lead to severe consequences like low IQ and cognitive decline in the fetus. The video discusses the treatment guidelines for hypothyroidism in pregnancy, emphasizing the need to increase the dosage of thyroid medication during pregnancy. It also highlights the importance of screening all newborns for congenital hypothyroidism to prevent mental retardation. Thyrotoxicosis in Pregnancy: The video differentiates between Graves' disease and gestational thyrotoxicosis, stressing that not all cases of thyrotoxicosis in pregnancy require treatment. It also discusses the potential complications of hyperthyroidism in pregnancy, such as abortion, low birth weight, premature labor, and stillbirth. Treatment Guidelines: The video provides clear guidelines for treating thyroid disorders in pregnancy. It advises starting full therapeutic doses for women with TSH more than 10, and clinical decision-making for TSH levels between 4 to 10. It also advises referring patients with thyrotoxicosis in pregnancy to endocrinologists to avoid potential complications. Screening and Monitoring: The video underscores the importance of complete thyroid function tests in pregnancy, especially in cases of thyrotoxicosis. It also recommends regular monitoring, at least monthly until mid-gestation. This video is a valuable resource for healthcare professionals, providing comprehensive knowledge about managing thyroid disorders during pregnancy. It offers practical advice, clear guidelines, and emphasizes the importance of appropriate treatment to prevent severe consequences for both the mother and the fetus.