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从受孕到分娩:甲状腺疾病及其对母婴健康的深远影响的全面综述

From Conception to Delivery: A Comprehensive Review of Thyroid Disorders and Their Far-Reaching Impact on Feto-Maternal Health.

作者信息

Joshi Jalormy S, Shanoo Amardeep, Patel Nainita, Gupta Aishwarya

机构信息

Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Feb 1;16(2):e53362. doi: 10.7759/cureus.53362. eCollection 2024 Feb.

DOI:10.7759/cureus.53362
PMID:38435202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10907906/
Abstract

This comprehensive review delves into the multifaceted landscape of thyroid disorders during pregnancy, exploring their impact from conception to postpartum considerations. Key findings highlight the intricate interplay between maternal thyroid health and fetal development, emphasizing the critical importance of timely screening and targeted interventions. The evolving landscape of research and technology suggests a paradigm shift toward personalized approaches in clinical practice, emphasizing integrated care models and the integration of telehealth platforms. Postpartum considerations, including postpartum thyroiditis, underscore the necessity for ongoing monitoring and intervention for maternal well-being. Implications for clinical practice encompass healthcare provider education, public awareness campaigns, and policy advocacy for standardized screening guidelines. The call to action resonates for increased research funding to advance understanding and improve outcomes. By fostering awareness, education, and collaborative efforts, this review aims to navigate the complexities of thyroid disorders during pregnancy, ensuring a healthier start for both mothers and their infants.

摘要

这篇全面的综述深入探讨了孕期甲状腺疾病的多方面情况,从受孕到产后注意事项探讨了它们的影响。主要研究结果突出了母亲甲状腺健康与胎儿发育之间的复杂相互作用,强调了及时筛查和针对性干预的至关重要性。研究和技术的不断发展表明临床实践正朝着个性化方法转变,强调综合护理模式和远程医疗平台的整合。产后注意事项,包括产后甲状腺炎,凸显了持续监测和干预以保障母亲健康的必要性。对临床实践的影响包括医疗服务提供者教育、公众宣传活动以及对标准化筛查指南的政策倡导。行动呼吁要求增加研究资金以增进理解并改善结果。通过提高认识、开展教育和进行协作努力,本综述旨在应对孕期甲状腺疾病的复杂性,确保母亲及其婴儿都有更健康的开端。

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本文引用的文献

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Role of Hormones During Gestation and Early Development: Pathways Involved in Developmental Programming.妊娠和早期发育期间激素的作用:发育编程涉及的途径。
Adv Exp Med Biol. 2023;1428:31-70. doi: 10.1007/978-3-031-32554-0_2.
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Knowledge Gaps and Current Evidence Regarding Breastfeeding Issues in Mothers with Chronic Diseases.母乳喂养问题在慢性疾病母亲中的知识差距和现有证据。
Nutrients. 2023 Jun 21;15(13):2822. doi: 10.3390/nu15132822.
3
Psychosocial support during childbirth: Development and adaptation of WHO's Mental Health Gap Action Programme (mhGAP) for maternity care settings.分娩期间的心理社会支持:世界卫生组织精神卫生差距行动规划(mhGAP)在产时保健环境中的制定和调整。
PLoS One. 2023 May 22;18(5):e0285209. doi: 10.1371/journal.pone.0285209. eCollection 2023.
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Implementation of non-pharmacological interventions for the treatment of hypertension in primary care: a narrative review of effectiveness, cost-effectiveness, barriers, and facilitators.非药物干预在基层医疗中治疗高血压的实施:有效性、成本效益、障碍和促进因素的叙述性综述。
BMC Prim Care. 2022 Nov 24;23(1):298. doi: 10.1186/s12875-022-01884-8.
5
The role of thyroid function in female and male infertility: a narrative review.甲状腺功能对女性和男性不孕的作用:叙述性综述。
J Endocrinol Invest. 2023 Jan;46(1):15-26. doi: 10.1007/s40618-022-01883-7. Epub 2022 Aug 9.
6
Selenium Supplementation in Pregnant Women with Autoimmune Thyroiditis: A Practical Approach.硒补充剂在自身免疫性甲状腺炎孕妇中的应用:一种实用方法。
Nutrients. 2022 May 27;14(11):2234. doi: 10.3390/nu14112234.
7
Accurate interpretation of thyroid dysfunction during pregnancy: should we continue to use published guidelines instead of population-based gestation-specific reference intervals for the thyroid-stimulating hormone (TSH)?妊娠期间甲状腺功能障碍的准确解读:我们是否应该继续使用已发表的指南,而不是基于人群的、与妊娠特异性的促甲状腺激素(TSH)参考区间?
BMC Pregnancy Childbirth. 2022 Mar 31;22(1):271. doi: 10.1186/s12884-022-04608-z.
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Thyroid Disease in Pregnancy: A Descriptive Review of Guidelines.妊娠甲状腺疾病:指南描述性综述。
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