Postpartum thyroiditis screening

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunny Kumar MD [2]

Overview

According to the American Journal of Obstetrics and Gynecology, screening for postpartum thyroiditis, done by measuring anti-TPO antibodies is recommended for every pregnant woman. According to the Endocrinology and Metabolism Clinics of North America, screening for postpartum thyroiditis in first trimester, by measuring anti-TPO antibodies, should be limited to every high-risk pregnant women with type 1 DM and history of postpartum thyroiditis. According to these recommendations, any patient with high risk of PPT should be followed with TSH levels in every 6th and 9th postpartum month.

Screening

According to the American Journal of Obstetrics and Gynecology screening for postpartum thyroiditis by measuring anti-TPO antibodies is recommended every pregnant women.^[1]
According to the Endocrinology and Metabolism Clinics of North America screening for postpartum thyroiditis in first trimester by measuring anti-TPO antibodies should be limited to every high risk pregnant women with:^[2]
- Type 1 DM
- History of postpartum thyroiditis

Any patient with high risk of PPT should be followed with TSH levels in every 6th and 9th postpartum month.^[3]

References

↑ Hayslip CC, Fein HG, O’Donnell VM, Friedman DS, Klein TA, Smallridge RC (1988). “The value of serum antimicrosomal antibody testing in screening for symptomatic postpartum thyroid dysfunction”. Am J Obstet Gynecol. 159 (1): 203–9. PMID 3394739.
↑ Stagnaro-Green A (2000). “Recognizing, understanding, and treating postpartum thyroiditis”. Endocrinol Metab Clin North Am. 29 (2): 417–30, ix. PMID 10874538.
↑ Keely EJ (2011). “Postpartum thyroiditis: an autoimmune thyroid disorder which predicts future thyroid health”. Obstet Med. 4 (1): 7–11. doi:10.1258/om.2010.100041. PMC 4989649. PMID 27579088.

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[pmid3394739-1] Hayslip CC, Fein HG, O’Donnell VM, Friedman DS, Klein TA, Smallridge RC (1988). “The value of serum antimicrosomal antibody testing in screening for symptomatic postpartum thyroid dysfunction”. Am J Obstet Gynecol. 159 (1): 203–9. PMID 3394739.

[pmid10874538-2] Stagnaro-Green A (2000). “Recognizing, understanding, and treating postpartum thyroiditis”. Endocrinol Metab Clin North Am. 29 (2): 417–30, ix. PMID 10874538.

[pmid27579088-3] Keely EJ (2011). “Postpartum thyroiditis: an autoimmune thyroid disorder which predicts future thyroid health”. Obstet Med. 4 (1): 7–11. doi:10.1258/om.2010.100041. PMC 4989649. PMID 27579088.

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