Thyroid Disorders in Pregnancy with Dr. Spyridoula Maraka

Published

In this episode of Curbside Consults, we discuss thyroid disorders in pregnancy with Dr. Spyridoula Maraka, Assistant Professor of Medicine at the University of Arkansas for Medical Sciences, Staff Physician at the Central Arkansas Veterans Healthcare System, and Investigator at the Knowledge and Evaluation Research Unit at Mayo Clinic.

 

0:05 – Intro
0:57 – Thyroid physiology during pregnancy
3:50 – Pathologies of the thyroid gland during pregnancy
4:30 – Harms associated with maternal hypothyroidism
7:10 – Symptoms of hypothyroidism in pregnancy
8:20 – Diagnosis of hypothyroidism in pregnancy
11:45 – Management of maternal hypothyroidism
15:45 – Harms associated with maternal hyperthyroidism
17:02 – Symptoms of hyperthyroidism in pregnancy
17:40 – Diagnosis of maternal hyperthyroidism
21:34 – Management of maternal hyperthyroidism
26:50 – Universal or targeted screening for thyroid disorders
28:48 – Postpartum thyroid disorders
29:50 – Management of postpartum thyroid disorders
32:25 – Thyroid disorders, treatment, and breastfeeding
34:00 – Prevention of maternal thyroid disorder
35:00 – Outro

Resources and articles discussed in this episode:

1. Alexander EK et al. Timing and Magnitude of Increases in Levothyroxine Requirements during Pregnancy in Women with Hypothyroidism. N Engl J Med 2004.
2. Casey BM et al. Treatment of Subclinical Hypothyroidism or Hypothyroxinemia in Pregnancy. N Engl J Med 2017.

The Curbside Consults series complements the foundational information in Rotation Prep by taking a deep dive into key clinical topics with expert clinicians and educators. These podcasts explore and critique the evidence behind clinical practice and break down statistical concepts for the busy clinical trainee.

Dr. Maraka is an Assistant Professor of Medicine at the University of Arkansas for Medical Sciences, Staff Physician at the Central Arkansas Veterans Healthcare System, and Investigator at the Knowledge and Evaluation Research Unit at Mayo Clinic. 

 James is a 2020-2021 NEJM Editorial Fellow and a graduate of the National University of Ireland, Galway. He has a Masters of Science in Evidence-Based Healthcare from University College London and completed Basic Specialist Training in general internal medicine with the Royal College of Physicians in Ireland.

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