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Pregnancy And Thyroid Disease

WHY THYROID DISEASE OCCUR DURING PREGNANCY
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
HYPOTHYROIDISM AND PREGNANCY
Hypothyroism is common in Pregnancy with an estimated prevalence of around 12%.
During pregnancy due to abnormalities  in HCG , ESTRADIOL , TBG Thyroid disorders are common.
Hypothyroidism is a condition in which the Thyroid gland does not produce enough Thyroid Hormone
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
How can Hypothyroidism affect your health ?
 
Tiredness/sluggishness
Feeling cold
Muscle cramps
Dry skin and hair
Constipation
 
Risks of Hypothyroidism on mother and baby
  • Miscarriage
  • Affects the baby’s growth and brain development.
  • Preeclampsia
  • Low birth weight
  • Stillbirth 
  • Anemia—too few red blood cells in the body, which prevents the body from getting enough oxygen
  • Congestive heart failure
What causes Hypothyroidism?
Hashimoto’s disease is the most common cause of Hypothyroidism. 
In this condition, your immune system attacks and damages your Thyroid, so it can’t make enough Thyroid Hormone.
 
How is Hypothyroidism in Pregnancy diagnosed?
Blood tests can measure your levels of Thyroid-stimulating hormone (TSH) and  Thyroid Hormone (T4). 
You have Hypothyroidism when you have low T4, and high TSH levels in your blood.
 
How is Hypothyroidism treated?
People who have Hypothyroidism must take a pill containing Synthetic Thyroid Hormone every day
 to replace the Thyroid Hormone they are defficient . 
 
HYPERTHYROIDISM  AND  PREGNANCY
Hyperthyroidism occurs in about 0.2-0.4% of all pregnancies.
 
How can hyperthyroidism affect your health?
 
Feeling too hot
Irritability and anxiety 
Increased sweating
Muscle weakness
Trembling hands
Rapid heart beat
Eye problems, such as protrusion , irritation or discomfort,
Tiredness/fatigue
Diarrhea or frequent bowel movement
   
Risk of Hyperthyroidism on mother and baby
  •  Miscarriage
  • Hyperemesis Gravidarum
  • Congestive Heart Failure
  • Preeclampsia—a dangerous rise in blood pressure in late pregnancy
  • Thyroid storm—a sudden, severe worsening of symptoms
  • Premature birth
  • Low Birth Weight
What is Hyperthyroidism?
In Hyperthyroidism the thyroid gland is overactive and produces too much thyroid hormone.
 
What causes Hyperthyroidism?
In pregnancy high levels of HCG stimulates Thyroid gland to produce more Thyroid Hormones .
Graves’ disease also causes Hyperthyroidism.
In it the immune system attacks the Thyroid gland, causing it to enlarge and make too much Thyroid Hormone. 
 
How is Hyperthyroidism diagnosed?
 Your doctor will perform a physical examination and order blood tests to measure your Hormone levels.
You have Hyperthyroidism when the levels of T4 and T3 are higher than normal and the level
 of TSH is lower than normal.
 
How is Hyperthyroidism treated?
• Antithyroid medications. These drugs lower the amount of Hormone the Thyroid gland makes. 
• Beta blockers can control many symptoms
• Radioactive iodine is contra- indicated in pregnancy.
• Surgery  - Surgical removal of the thyroid gland (Thyroidectomy).
 
Postpartum Thyroiditis
What is Postpartum Thyroiditis?
Postpartum Thyroiditis is an inflammation of the Thyroid.
Thyroiditis causes stored Thyroid Hormone to leak out of the inflamed Thyroid gland and raise Hormone levels in the blood.
Postpartum Thyroiditis is believed to be an Autoimmune condition and causes mild Hyperthyroidism that usually lasts 1 to 2 months. 
Many women then develop Hypothyroidism lasting 6 months before the Thyroid regenerates and regains normal function. 
In some women, the Thyroid is too damaged to regain normal function and their Hypothyroidism is permanent, requiring lifelong treatment with synthetic Thyroid Hormone. 
 

 

 

 

AED is the first Endocrine research and treatment center in Kukatpally, Hyderabad.
Run by a fully qualified endocrinologist available round the clock, AED provides both
inpatient and outpatient services at a reasonable cost..

• Drug and Dosage Standardization Done for Insulin,Diabetic Drugs, Thyroxine, HRT, HTN, Cholesterol.
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• Lab Back-Up for all Hormone assays recognised by NABL and CAP.
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AED

Ground Floor,

Challa Estate,

H.No. 301, Adjacent to Vignesh Temple,

Rd. No. 3, KPHB Colony Phase 1,

Hyderabad 500072.

Ph: 04040101539

       9059600930

       9849777971

 

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