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Updated: Dec 16, 2025

Author Spotlight: Integrating Ultrasound Imaging with Biochemical Markers for Thyroid Disease Diagnosis
Published on: February 9, 2024
Universal screening for thyroid disease SHOULD NOT be recommended before and during pregnancy
A H van der Spek1, P H Bisschop1
1Amsterdam UMC, University of Amsterdam, Dept. of Endocrinology and Metabolism, Amsterdam, the Netherlands.
Abstract:
Thyroid dysfunction in pregnancy is strongly associated with adverse maternal and foetal outcomes. The effects of treatment are less clear. There is ongoing discussion on whom to treat, when to treat and whether treatment is beneficial. Although universal screening for thyroid disease during pregnancy increases diagnosis and treatment of thyroid dysfunction, there is currently insufficient evidence demonstrating a positive effect of screening on maternal and foetal outcomes. We therefore, at present, recommend against universal screening for thyroid disease before and during pregnancy.
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