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How does hypothyroidism impact pregnancy?

DOCTOR OF THE MONTH - May 2013
May 2013
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Practicing since : 2006
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Dear doc My wife conceived just with age 37 and having Hypothyroidism before from years, is diagnosed with TSH=9.34, FT3=3.35,FT4=1.15. are these TSH #s risky for pregnancy & new born? kinldy suggest frankly ??
Posted Sat, 15 Feb 2014 in Pregnancy
 
 
Answered by Dr. Sree Gouri SR 28 minutes later
Brief Answer: Complications can be prevented Detailed Answer: Hi, Thanks for the query. Thyroid hormone is essential for different metabolic functions in the body. Your wife's thyroid hormonal levels suggesting hypothyroidism as you said. The requirements of thyroid hormonal levels increase in pregnancy. Hypothyroidism may lead to complications like miscarriage, preterm labor, anemia, abruption etc. Baby can get affected and may present with features like lower IQ, developmental delay, impaired psychomotor functions etc. But studies have shown that with proper treatment and by maintaining the hormonal levels within normal range, this complications can be prevented. Hope l have answered the query. I will be available to answer followup queries. If you are satisfied with the response, please give your review at the end of the discussion. Take care.
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Follow-up: How does hypothyroidism impact pregnancy? 10 hours later
Dear doc My wife conceived just with age 37 and having Hypothyroidism before from years, is diagnosed with TSH=9.34, FT3=3.35,FT4=1.15. are these TSH #s risky for pregnancy & new born? kinldy suggest frankly ??
Follow-up: How does hypothyroidism impact pregnancy? 15 hours later
Respected doctor, Thanks for reply. kinldy advice risks involved for pregnancy where issues like Age(37+),HypoTH,TSH(9.4),Ashthma etc? how could TSH will be mantained so early in normal range becuase patient is already in pregnancy? we have visited doctors (endocrionologist & gynocologist) both have advised that nothing to wory and no such risks and every thing will be taken care? currently patient is taking thyronrom 100mcg but doc has now adviced to 200 mcg? is it right to double the dose for during prgnancy? please advice if this go ahead by doctors is corrct and are doc really sure for taking care risks. please suggest some measures that you feel need to be taken care?
 
 
Answered by Dr. Sree Gouri SR 11 hours later
Brief Answer: Regular antenatal checkups and ultrasound Detailed Answer: Hi, -Regarding age, elderly pregnant women are comparatively more prone for complications like gestational hypertension, gestational diabetes, hyperemesis, preterm labor, chromosomal abnormalities in the baby etc. But with proper care, regular checkups and investigations most of these complications can be prevented or treated. For more details:http://srsree.blogspot.in/2013/12/elderly-primigravidae-possible-problems.html -During pregnancy thyroid hormones requirement will increase. May be because of that your doctor might have increased the dose of thyroid tablets. Thyroid hormonal levels should be reassesd after 2 to 3 months. And dose should be adjusted accordingly. -The intake of steroids to be restricted in asthma treatment during pregnancy. She has to take regular antenatal checkups, ultrasound examinations. Especially dating scan between 9 to 11 weeks and TIFFA scan between 18 to 22 weeks. Triple or quadruple test between 15 to 20 weeks of gestation are advised. Reference: WWW.WWWW.WW Take care.
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Follow-up: How does hypothyroidism impact pregnancy? 2 days later
Hi doc, we have again done TSH test from Dr. Lal path lab and it is now 5.5 though earlier it was 9.43 from Thyrocare Lab? which is correct one if you have any previous exp for such a huge gap in lab tests? also again kindly let us know steps to reduce the risks involved?
 
 
Answered by Dr. Sree Gouri SR 21 hours later
Brief Answer: Many factors influence Detailed Answer: Hi, Many factors can influence the thyroid hormonal levels like: -Values can differ from lab to lab. -Changing the dose of the medicine, brand of the medicine etc. -Altering the time of intake of medicine, taking with food. -Goitrogenic foods like turnips, cauliflower, cabbage etc can alter the efficacy of tablets. -Seasons can influence the levels of thyroid hormones etc. So better to give blood samples in same lab as per as possible, better to use same brand tablets and tablet should be taken with empty stomach. Maintaining the thyroid hormonal levels within normal range is needed to continue the pregnancy safely and to have healthy baby. Remaining things are like normal pregnancy only. Take care.
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