Bijblijven

, Volume 31, Issue 4, pp 250–257 | Cite as

Schildklier en zwangerschap

Article
  • 64 Downloads

Samenvatting

Schildklierfunctiestoornissen kunnen nadelige effecten hebben op de zwangerschap en de ontwikkeling van de foetus. Tijdige diagnostiek en behandeling kunnen complicaties voorkomen. Deze bijdrage geeft een overzicht van de recente ontwikkelingen in de diagnostiek van schildklierfunctiestoornissen bij zwangere vrouwen, associaties met negatieve zwangerschapsuitkomsten en adviezen voor behandeling.

Literatuur

  1. 1.
    Richtlijn Schildklierfunctiestoornissen. Revisie 2012. Utrecht: Nederlandse Internisten Vereniging; 2012.Google Scholar
  2. 2.
    Lieshout J van, Felix-Schollaart B, Bolsius EJM, Boer AM, Burgers JS, Bouma M, et al. NHG-Standaard Schildklieraandoeningen. Huisarts Wet. 2013;56(7):320–30.Google Scholar
  3. 3.
    Pop V, Broeren M, Wiersinga W. The attitude toward hypothyroidism during early gestation: time for a change of mind? Thyroid. 2014;24(10):1541–6.PubMedCrossRefGoogle Scholar
  4. 4.
    Benhadi N, Wiersinga WM, Reitsma JB, Vrijkotte TGM, Wal MF van der, Bonsel GJ. Ethnic differences in TSH but not in free T4 concentrations or TPO antibodies during pregnancy. Clin Endocrinol. 2007;66(6):765–70.CrossRefGoogle Scholar
  5. 5.
    Medici M, Rijke YB de, Peeters RP, Visser W, Muinck Keizer-Schrama SM de, Jaddoe VV, et al. Maternal early pregnancy and newborn thyroid hormone parameters: the Generation R study. J Clin Endocrinol Metabol. 2012;97(2):646–52.CrossRefGoogle Scholar
  6. 6.
    Stagnaro-Green A, Abalovich M, Alexander E, Azizi F, Mestman J, Negro R, et al. Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and postpartum. Thyroid. 2011;21(10):1081–125.PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Haddow JE, Palomaki GE, Allan WC, Williams JR, Knight GJ, Gagnon J, et al. Maternal thyroid deficiency during pregnancy and subsequent neuropsychological development of the child. N Engl J Med. 1999;341(8):549–55.PubMedCrossRefGoogle Scholar
  8. 8.
    Boogaard E van den, Vissenberg R, Land JA, Wely M van, Post JA van der, Goddijn M, et al. Significance of (sub)clinical thyroid dysfunction and thyroid autoimmunity before conception and in early pregnancy: a systematic review. Hum Reprod Update. 2011;17(5):605–19.PubMedCrossRefGoogle Scholar
  9. 9.
    Vaidya B, Hubalewska-Dydejczyk A, Laurberg P, Negro R, Vermiglio F, Poppe K. Treatment and screening of hypothyroidism in pregnancy: results of a European survey. Eur J Endocrinol. 2012;166(1):49–54.PubMedCrossRefGoogle Scholar
  10. 10.
    Vissenberg R, et al. [Thyroid dysfunction in pregnant women: clinical dilemmas]. Ned Tijdschr Geneeskd 2012;156:A5163PubMedGoogle Scholar
  11. 11.
    Krassas GE, Poppe K, Glinoer D. Thyroid function and human reproductive health. Endocr Rev. 2010;31(5):702–55.PubMedCrossRefGoogle Scholar
  12. 12.
    Negro R, Schwartz A, Gismondi R, Tinelli A, Mangieri T, Stagnaro-Green A. Universal screening versus case finding for detection and treatment of thyroid hormonal dysfunction during pregnancy. J Clin Endocrinol Metab. 2010;95(4):1699–707.PubMedCrossRefGoogle Scholar
  13. 13.
    Lazarus JH, Bestwick JP, Channon S, Paradice R, Maina A, Rees R, et al. Antenatal thyroid screening and childhood cognitive function. N Engl J Med. 2012;366(6):493–501.PubMedCrossRefGoogle Scholar

Copyright information

© Bohn, Stafleu van Loghum 2015

Authors and Affiliations

  1. 1.AmsterdamNederland

Personalised recommendations