臨床婦人科産科74巻9号

2020年09月発行

今月の臨床 産婦人科医に最低限必要な正期産新生児管理の最新知識（Ⅱ）―母体合併症の影響は？　新生児スクリーニングはどうする？

母体合併症

甲状腺疾患合併妊婦から出生した児の取り扱い

著者： 今野麻里絵¹ 長谷川行洋¹

所属機関： ¹東京都立小児総合医療センター内分泌・代謝科

ページ範囲：P.908 - P.914

文献概要

●甲状腺疾患合併妊婦では，母体から児へ移行した自己抗体と抗甲状腺薬のバランスによって児の甲状腺機能は亢進もしくは低下する．

●Basedow病合併妊婦の場合，母体がTRAb陽性，コントロール不良，抗甲状腺薬治療中であれば，対応可能な周産期施設へ紹介すべきである．

●橋本病合併妊婦の場合，母体がTRAb陽性であれば，対応可能な周産期施設へ紹介すべきである．

参考文献

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