Endocrinology

Hypothyroidism and pregnancy

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Hypothyroidism and pregnancy

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Overview

The negative impact of thyroid hormone imbalances during conception and pregnancy on both mother and baby are well-documented. Despite the potential impact on the intellectual development of the baby, the diagnosis and treatment, particularly of subclinical hypothyroidism, is still controversial. This webinar will highlight the need for vigilance to case-find and monitor or treat women with hypothyroidism according to local guidelines.

The issue of trimester-specific reference ranges for thyroid stimulating hormone and free thyroid hormones that transcend inter-assay variability and other confounders (including ethnicity and iodine intake) [Gietka-Czernel, 2021] will also be discussed. Fixed reference ranges suggested by endocrine societies risk misclassifying some healthy pregnant women as hypothyroid, who are then treated unnecessarily, which can cause preterm delivery, gestational diabetes, hypertension and pre-eclampsia [Gietka-Czernel, 2021]. While treatment for subclinical hypothyroidism remains controversial, current recommendations do not support universal screening of low-risk women during pregnancy [Sullivan, 2019].

There is a high lifetime risk of developing permanent hypothyroidism post-partum in women with subclinical hypothyroidism before they were pregnant or who developed hypothyroidism in the first trimester [Peng, 2022]. The need for vigilance and periodic testing of these women will be discussed.

Learning Objectives

After this live webinar, participants will be able to:

  • • Understand how and when to test for hypothyroidism in pregnancy and the importance of prompt treatment
  • • Competently manage hypothyroidism in pregnancy
  • • Plan and deliver post-partum screening programmes for hypothyroidism

Target Audience

Clinicians involved in endocrinology, particularly thyroid disorders and general practice; some content of interest to pediatricians, biochemists, clinical and research scientists, and those involved in pre-natal, pregnancy and post-natal care.

Language

English with simultaneous translation into Spanish and Chinese

Continuing Medical Education

The Hypothyroidism and pregnancy – Virtual, Italy, 22/11/2024 – 22/11/2024 has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) with 1.0 European CME credits (ECMEC®s). Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity.

Through an agreement between the Union Européenne des Médecins Spécialistes and the American Medical Association, physicians may convert EACCME® credits to an equivalent number of AMA PRA Category 1 CreditsTM. Information on the process to convert EACCME® credit to AMA credit can be found at https://edhub.ama-assn.org/pages/applications.

Live educational activities, occurring outside of Canada, recognised by the UEMS-EACCME® for ECMEC®s are deemed to be Accredited Group Learning Activities (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.

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The content of the “Hypothyroidism and pregnancy” has been certified by the CPD Certification Service as conforming to continuing professional development principles.

Faculty

Gabriela Brenta

Gabriela Brenta

Chief of the Thyroid Division
Dr Cesar Milstein Hospital and Assistant Professor
Medical School University of Buenos Aires
Buenos Aires, Argentina
Biography
Tim Korevaar

Tim Korevaar

Obstetric internist and Endocrinologist
Erasmus University Medical Center
Rotterdam, The Netherlands
Biography
Kristien Boelaert

Kristien Boelaert

President of the British Thyroid Association (BTA)
Professor of Endocrinology
University of Birmingham
Birmingham, UK
Biography

Partnerships & Endorsements

With the Endorsement of the British Thyroid Association (BTA) and
the Latin American Thyroid Society (LATS)

Agenda

AGENDA

Final Programme

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FUNDING

· Martin O. Savage ·

Martin Savage is Emeritus Professor of Paediatric Endocrinology at William Harvey Research Institute, Barts and the London School of Medicine & Dentistry, Queen Mary, University of London. He was head of the Paediatric Endocrine Unit at Barts and the London School of Medicine from 1982 to 2007. He has interests in growth disorders, specifically those with abnormalities in the GH-IGF-1 axis and in phenotype-genotype relationships of GH-IGF-1 axis defects, notably GH resistance. He published the first human case of an IGF-1 gene defect in the New England Journal of Medicine in 1996.  His other interests are Cushing’s syndrome and growth in chronic inflammatory diseases. He was General Secretary of the European Society for Paediatric Endocrinology (ESPE) from 1997 to 2004. He has lectured in 60 countries and has published 482 original articles, reviews, textbook chapters and books. In 2007, he was awarded the ESPE Andrea Prader Prize for contributions to paediatric endocrinology and in 2018 he received a Visionary Award from the American Human Growth Foundation. In 2022, he received a Research Excellence Award from the Dr Sulaiman Al Habib Medical Journal in Riyadh, and the British Society of Paediatric Endocrinology & Diabetes James M. Tanner Lifetime Achievement Award. He continues to lecture nationally and internationally.

· Gabriela Brenta ·

Gabriela Brenta is Chief of the Thyroid Division of the Endocrinology Department of the Dr Cesar Milstein Hospital in Buenos Aires, and Assistant Professor at the Medical School of the University of Buenos Aires in Argentina. Alongside her clinical commitments, Dr Brenta is an active and well-published researcher – her main areas of scientific interest include the cardiovascular and metabolic effects of thyroid hormones, as well as nodular thyroid disease including thyroid cancers. Her professional affiliations include pro-secretary of the Argentine Society of Endocrinology and Metabolism (SAEM), as well as membership of the thyroid section of SAEM. Dr Brenta served as President of the Latin American Thyroid Society 2017–2019 and is currently a member of the Pregnancy and Thyroid Task Force and the Women in Thyroid (WIT) group of the American Thyroid Association. Dr Brenta is a member of the editorial committee of Thyroid, The Journal of Endocrinology Investigation, Revista Argentina de Endocrinología y Metabolismo, and Clinical Thyroidology.

· Tim Korevaar ·

Tim Korevaar is an obstetric internist and endocrinologist at the Erasmus University Medical Center in Rotterdam, the Netherlands. His key research interest is gestational and placental endocrinology including thyroid disease in fertility and pregnancy. Doctor Korevaar is the co-founder and coordinator of the Consortium on Thyroid and Pregnancy, the co-chair of the current ATA guidelines on Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum and co-chair of the European Thyroid Association Guidelines on Hypothyroidism and Thyroid Autoimmunity During Pregnancy. He has been awarded with the Dutch Royal Academy of Sciences Early Career Award and the ESE Young Investigator Award and has published more than 130 peer-reviewed articles.

· Kristien Boelaert ·

Kristien Boelaert is a Professor of Endocrinology at the University of Birmingham and a Consultant Endocrinologist at University Hospitals Birmingham. She is an active researcher in the field of thyroid diseases. She has published more than 200 papers (H-index 48) and has received more than £10 million in research grant funding. Kristien was the recipient of the inaugural Outstanding Clinical Practitioner Award from the Society for Endocrinology. She was the Clinical Lead for the NICE Guidelines on Thyroid Diseases and leads the National Consensus Statements on Management of Thyroid Cancer. She is a member of the RCOG Green-Top and the American Thyroid Association guideline panels on Thyroid Diseases in Pregnancy. Kristien is Senior Editor for the Journal of the Endocrine Society and Endocrine Connections. She serves on the Editorial Boards of several endocrine journals including Lancet Diabetes & Endocrinology, Thyroid and Clinical Endocrinology. She is President of the British Thyroid Association, Chair of the Clinical Committee of the Society for Endocrinology and member of the SfE Council, The ATA Programme Organising Committee, the ETA Executive Committee and the RCP Specialist Certificate Examination Board.

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