Hypertrophy of the thyroid gland is common in normal pregnancies. Thyroid problems in pregnancy include hypothyroidism, hyperthyroidism and thyroiditis. Thyroid problems in pregnancy pose certain risks to maternal and fetal well being e.g. pre-eclampsia, premature birth, thyroid storm, still birth, congestive heart failure and myxoedema coma etc. Hypothyroidism in pregnancy is treated with thyroxine supplementation. Anti thyroid drugs (propylthiouracil and carbimazole) are the first line of treatment for hyperthyroidism. Surgery is performed only in severe cases. Thyroiditis usually resolves spontaneously and requires no treatment.

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