Endocrine Abstracts

Introduction: During pregnancy, the thyroid balance of women is altered due to certain hormonal and metabolic changes. It can be all the classic causes of hyperthyroidism, very often in the first trimester it is transient gestational hyperthyroidism.

Objective of the study: The objective of this study is to evaluate the prevalence of hyperthyroidism during pregnancy and the different methods of management.

Materials and methods: Prospective study conducted in the endocrinology and diabetology department, including 70 patients with hyperthyroidism during pregnancy

Results: The results had objectified a mean age of 29 years, with a mean gestational age of 11 SA, with a history of personal thyreopathy in 4 patients, the predominant clinical reason is vomiting in pregnancy, which was present in 98% of patients. On thyroid checkups: The Mean TSHus was 0.05 mIU/l, with mean T4L at 23 ng/l and mean T3L at 7 ng/l, a basedow disease was objectified in 4 patients, and a multi-heteronodular goiter in 5 patients. Therapeutically, 57% of the patients were put on synthetic antithyroid drugs with a betablocker, while for the other patients a simple monitoring was initiated The evolution was marked by the disappearance of the signs of hyperthyroidism in 87% of the patients, with normalization of the thyroid balance after the first trimester.

Conclusion: Hyperthyroidism during pregnancy is a frequent reason for consultation, most often revealed by vomiting during pregnancy, which should not be neglected, requiring adequate management to avoid maternal-fetal complications.