Journal article

Subclinical hypothyroidism during pregnancy: the Melbourne public hospitals consensus

Peter S Hamblin, Penelope M Sheehan, Carolyn Allan, Christine A Houlihan, Zhong X Lu, Simon P Forehan, Duncan J Topliss, Christopher Gilfillan, Bala Krishnamurthy, Debra Renouf, Shoshana Sztal-Mazer, Suresh Varadarajan

Internal Medicine Journal | WILEY | Published : 2019

Abstract

BACKGROUND: Interest in potential adverse outcomes associated with maternal subclinical hypothyroidism (normal Free T4, elevated TSH) has increased significantly over recent years. In turn, the frequency of maternal thyroid function testing has risen, despite universal thyroid function screening not being recommended, leading to a marked increase in referrals to obstetric endocrinology clinics. In 2017 the American Thyroid Association (ATA) revised their diagnostic and management guidelines. While welcome, these new guidelines contain recommendations which may cause confusion in clinical practice. AIMS: To ensure uniform practice in the diagnosis and management of subclinical hypothyroidism ..

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