This document discusses thyroid function tests and thyroid physiology during pregnancy. It provides normal ranges for various thyroid markers like TSH, T4, and T3 in pregnancy. It explains that human chorionic gonadotropin (hCG) secreted during pregnancy can stimulate the thyroid and cause a transient decrease in TSH in early pregnancy. Estrogen also increases thyroid-binding globulin levels, decreasing free thyroid levels but increasing total levels. The document recommends screening all pregnant women with TSH and free T4 tests and checking thyroid antibodies if levels are abnormal based on pregnancy-specific reference ranges.