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Facts about hypothyroidism and pregnancy Hypothyroidism is a condition marked by an underactive thyroid gland and may be present during pregnancy. Many symptoms of hypothyroidism are similar to pregnancy symptoms. For example, fatigue, weight gain, and abnormal menstruation are common to both. Hypothyroidism can occur during pregnancy due to the initial presentation of Hashimoto’s thyroiditis, inadequate treatment of a woman already known to have hypothyroidism from a variety of causes, or over-treatment of a hyperthyroid woman with anti-thyroid medications. Hypothyroidism in pregnancy is usually caused by Hashimoto’s disease and occurs in 2 to 3 out of every 100 pregnancies.
1 Hashimoto’s disease is an autoimmune disorder. In Hashimoto’s disease, the immune system makes antibodies that attack the thyroid, causing inflammation and damage that make it less able to make thyroid hormones. If left untreated, maternal hypothyroidism poses a risk for both mother and baby. A pregnant woman’s thyroid hormones are vital not only for her but also for the development of her baby. Pregnant women with uncontrolled hypothyroidism can get high blood pressure, anemia (low red blood cell count), and muscle pain and weakness.
Hypothyroidism is a condition that is caused by an underactive thyroid gland. It may happen during pregnancy. Many symptoms of the condition are similar to pregnancy symptoms.
For example, they can both cause fatigue, weight gain, and changes in menstruation. Hypothyroidism can also cause a shortened second half of the menstrual cycle. This may not allow a fertilized egg enough time to attach to the womb. It can also cause low basal body temperatur.
Hypothyroidism, wherein the thyroid gland produces an inadequate amount of thyroid hormone, is a common disorder, particularly in women of childbearing age. Hypothyroidism of the mother during pregnancy may result in developmental delay in the child. Treatment of hypothyroidism requires thyroid hormone medication. Thyroid function tests change during pregnancy due to the influence of two main hormones: human chorionic gonadotropin (hCG), the hormone that is measured in the pregnancy test and estrogen, the main female hormone.
HCG can weakly turn on the thyroid and the high circulating hCG levels in the first trimester may result in a slightly low TSH. Hypothyroidism, an underactive thyroid, increases the risk of pregnancy complications, such as miscarriage, still birth, infertility, maternal anemia, pre-eclampsia, placental abruption, postpartum hemorrhage, premature delivery, low birth weight and deficits in intellectual development in infants. Despite the warnings, not all doctors. Hypothyroidism and pregnancy During the first few months of pregnancy, the fetus relies on the mother for thyroid hormones.
Thyroid hormones play an essential part in normal brain development. Deprivation of the maternal thyroid hormone due to hypothyroidism can have irreversible effects on the fetus.
List of related literature:
|from Primary Care E-Book: A Collaborative Practice|
|from Swanson’s Family Medicine Review E-Book|
|from Clinical Gynecologic Endocrinology and Infertility|
|from Mayo Clinic Internal Medicine Board Review|
|from Endocrinology: Adult and Pediatric E-Book|
|from Linne & Ringsrud’s Clinical Laboratory Science E-Book: Concepts, Procedures, and Clinical Applications|
|from It’s My Ovaries, Stupid!|
|from Management of Common Problems in Obstetrics and Gynecology|
|from Master the Boards USMLE Step 3|
|from Clinical Reproductive Medicine and Surgery|