Screening and management of major endocrinopathies during pregnancy: an update
Stavroula Α. Paschou, Evanthia Bletsa, Maria Papazisi, Nikoletta Mili, Fotini Kanouta, Georgia Kassi, Θεοδώρα Ψαλτοπούλου, Dimitrios G. Goulis, Ιrene Lambrinoudaki
Abstract
Endocrinopathies during pregnancy constitute a challenging issue, being prevalent and requiring appropriate management to avoid maternal and fetal complications. This review aims to summarize and present major endocrine problems during pregnancy, the appropriate screening, maternal monitoring and management, fetal monitoring, and follow-up. Glucose metabolism, thyroid function, as well as calcium and vitamin D metabolism are the main endocrine domains that should be screened and monitored during pregnancy. Gestational diabetes mellitus (GDM) is the most prevalent endocrine disease during pregnancy, followed by thyroid disorders. Specific recommendations are provided for the optimal clinical care of pregnant women and their offspring for GDM, thyroid disorders, and calcium and vitamin D disorders.