The Anesthesia Management in Pregnant Women with Hyperthyroidism

Abstract

During pregnancy, there are changes in the structure and function of the thyroid gland and clinical conditions similar to excess thyroxine occur. These changes often make it difficult for clinicians to be able to distinguish whether the condition is a physiological condition or a thyroid disorder. The incidence of pregnancy with clinical symptoms of thyrotoxicosis and hyperthyroidism is 1 of 2000 pregnancies. Hyperthyroidism is a disorder that occurs when the thyroid gland produces more thyroid hormone than the body needs. Hyperthyroidism often occurs in reproductive age including during pregnancy. During pregnancy, thyroid hormone levels can be reduced or excessive, which can be bad for pregnant women and the fetus. Hyperthyroid conditions in pregnant women should be corrected wherever possible before pregnancy. Hyperthyroidism in pregnancy can provide serious complications, ranging from obstetric complications such as preeclampsia, maternal heart failure, premature birth and even fetal death. Hyperthyroidism in pregnancy often causes unspecific symptoms, so treatment should consider possible teratogenic drug effects.