Abstract
Thyroid disease is the second most common endocrine disorder associated with pregnancy. Graves disease accounts for most of the cases of pregnancy-associated hyperthyroidism. It is associated with an increased incidence of maternal and perinatal complications. Pre-conceptional achievement of euthyroid state is advised. Serum thyroid profile is diagnostic.The mainstay of management is anti-thyroid drugs. Other available options are beta-adrenergic blockers and subtotal thyroidectomy. Thyroid storm is an obstetric emergency and is to be managed in obstetric intensive care unit. Early diagnosis and management of maternal hyperthyroidism plays the key role in improving pregnancy outcomes.