Thyroid Awareness Month: The Thyroid, Its Impact and Management During Pregnancy
Thyroid Awareness Month: The Thyroid, Its Impact and Management During Pregnancy | Photo credit: iStock images
New Delhi: “Thyroid hormones are essential for the normal development of the brain and nervous system of the fetus,” explains Dr Mukesh Gupta, obstetrician and gynecologist at Le Nest Malad Hospital, Mumbai. Thyroid conditions such as hypothyroidism or hyperthyroidism should be strictly monitored during pregnancy, especially in the first trimester. Babies who do not get enough of these hormones during the first trimester, when dependent on the mother’s supply, may be born with developmental problems. neurological., anemia, stillbirth as well as the impact on cognitive abilities. The key is to monitor your thyroid levels at regular intervals during pregnancy and accordingly, adjustment of drug doses may be decided by your doctor. Simple blood test to check TSH, T3, and T4 levels will determine the levels in the body.The body’s needs for thyroid hormones These fluctuate during pregnancy, so if you have ever been diagnosed if you have ever had thyroid problems or are currently taking medication for thyroid disease, be sure to let your practitioner know so they can guide you on the next steps to ensure normal thyroid function in the body during pregnancy “
Thyroid disease can be difficult during pregnancy because many of its symptoms are common in pregnancy. Let us understand thyroid function and how it plays an important role in pregnancy from Dr Danny Laliwalla, Obstetrics and Gynecology Consultant at Jaslok Hospital and Research Center. The thyroid gland works thanks to certain hormones secreted by the brain (TSH) and the thyroid gland (T3, T4). The increase or decrease in serum TSH (thyroid stimulating hormone) can lead to hypothyroidism or hyperthyroidism, respectively, and both can affect the mother and the fetus. S. TSH levels usually vary between 0.5 and 5.0 mIU / L, but during pregnancy these levels differ. In the 1st trimester, anything over 2.0 requires treatment.
Hypothyroidism : This is diagnosed by high levels of TSH and a reduced level of FT4. Symptoms include cold intolerance and slow heart rate. Obstetric complications include spontaneous abortions, stillbirths, offspring for pregnant babies, high blood pressure during pregnancy. Babies can be born with neurological disorders. (retinal defects, hearing problems, etc. can be serious).
Processing: Check TSH levels during pre-pregnancy. If it is high, it should be corrected first, then the couple should conceive. If not checked during pre-pregnancy, TSH levels should be checked in the first trimester / first visit and if high, thyroxine supplements should be started after taking advice from an endocrinologist. . These should be taken on an empty stomach. TSH levels should be checked quarterly and doses should be adjusted until normal levels are reached. During labor, frequent fetal heart monitoring is essential. It is not necessary to make a decision for a cesarean section for hypothyroidism – to be done only in an emergency. These mothers can go into postpartum depression, should look for their signs after childbirth.
Hyperthyroidism: This is diagnosed by low levels of TSH and high levels of T4. Symptoms may include weight loss, high heart rate, and vomiting. If left untreated, it can lead to heart failure and thyroid storm, which is a medical emergency. Also, it can be associated with high blood pressure, miscarriage, fetal death, and placental abruption.
Processing: Treatment options include a set of medications prescribed in post-doctor consultation. Beta blockers may be needed to control the increase in heart rate. Radioactive iodine or some other widely used drugs are strictly contraindicated during pregnancy. During labor, watch out for thyroid storm, check for neonatal thyrotoxicosis on D3 and D10 of life by measuring thyroid levels in the body.
Conclusion: In hypothyroidism, thyroid hormones are important for early fetal brain development. Women with properly treated hypothyroidism can expect a good pregnancy outcome. In hyperthyroidism, if left untreated or poorly controlled during pregnancy, it can be associated with unwanted results. Using the lowest possible dose will minimize complications. Women with hyperthyroidism that are properly treated can expect a good pregnancy outcome.
Disclaimer: The tips and suggestions mentioned in the article are for general information purposes only and should not be construed as professional medical advice. Always consult your doctor or healthcare professional if you have specific questions about a medical problem.