How is Department of gynaecology check thyroid to return a responsibility?

summary

Statistical data show that nearly 1 / 10 women in China have had thyroid disease during pregnancy in the first half of pregnancy, which has great harm to both the fetus and the mother. How is Department of gynaecology check thyroid to return a responsibility? Let's talk about it.

How is Department of gynaecology check thyroid to return a responsibility?

Early pregnancy, the first 12 weeks of pregnancy, is the first rapid development period of fetal brain development. If the expectant mother suffers from hypothyroidism during this period, that is, the maternal thyroid hormone level remains low, which can not provide sufficient thyroid hormone for fetal brain development, it will affect fetal brain development, and even cause irreversible damage.

Graves disease (toxic diffuse goiter) accounted for 85% of hyperthyroidism during pregnancy. If moderate and severe hyperthyroidism and symptoms are not controlled, the abortion rate, the incidence of pregnancy induced hypertension, premature birth rate, the incidence of small sample infants and perinatal mortality rate of pregnant women are significantly increased.

Serum TSH, FT4 and TPOAb should be selected before 8 weeks of gestation. It is best to carry out thyroid index screening before pregnancy, once diagnosed with disease, can be effective treatment before pregnancy and then choose the opportunity to get pregnant.

matters needing attention

Although thyroid disease in pregnancy is serious, as long as it is found in time and intervened scientifically, the outcome is usually ideal. Taking clinical hypothyroidism in pregnancy as an example, after receiving effective treatment, there is no evidence to show that it will produce adverse pregnancy outcomes and harm the intellectual development of the fetus, and the fetus does not need any additional monitoring measures.