PLEASE SEE THE PRIMARY CARE MANAGEMENT SECTION ON OBSTETRIC THYROID PAGE FOR FULL DETAILS
Hyperthyroidism – Action points
All women with hyperthyroidism in pregnancy should be seen by a Consultant Endocrinologist and a Consultant Obstetrician from early in pregnancy
Home delivery is not appropriate for women with hyperthyroidism
Measure TRAbs in all patients with Graves” disease at booking (irrespective of thyroid status). Patients with detectable TRAbs require special management, irrespective of their thyroid function test profile. Inform Endocrinologist and Obstetrician as soon as possible. If TRAbs are negative, they do not need to be rechecked.
The aim is for good control of hyperthyroidism on the minimum dose of carbimazole (CBZ) / propylthiouracil (PTU) possible.