Thyroid disease affects different aspects of pregnancy and postpartum health for the mother and the newborn child. There have been varied and contradicting practices with regards to thyroid disease and pregnancy. As a result a group of endocrinologists came together to publish a journal containing clinical guidelines for the management of thyroid problems during pregnancy and during the postpartum period. The creation of this group came about over a two-year period and their findings were published in the Journal of Endocrinology and Metabolism, the August of 2007 issue. This journal represents the methods and practices of endocrinologists all over the world.
Some of the main components of that journal are being discussed below. The points bear crucial implications for women who are diagnosed with thyroid disease during their pregnancy or even at the postpartum stage. Some of the information also has a bearing on women who develop thyroid disease before they get pregnant.
Hypothyroidism & Pregnancy
The condition of hypothyroidism in a mother or an unborn child can cause serious health problems on the unborn baby. If a woman is aware of her condition as properly diagnosed hypothyroidism, she should reconsider trying to get pregnant or avoid maternal hypothyroidism altogether.
If a woman should develop hypothyroidism prior to her YK11 pregnancy and it has been properly diagnosed by a doctor or endocrinologist, her thyroid medication will need to be adjusted so that the thyroid stimulating hormone (TSH) level goes no higher than 2.5 prior to entering pregnancy.
A woman diagnosed as hypothyroid during her pregnancy should undergo treatment immediately. The goal is to restore her thyroid levels back to normal as soon as possible. Upon entering the first trimester, her thyroid-stimulating hormone (TSH) level should be held at less than 2.5. Upon entering the second and third trimester, her thyroid-stimulating hormone (TSH) should be maintained at less than 3.0. Thyroid function tests need to be reviewed and re-evaluated within 30 to 40 days after the initial diagnosis.
When a pregnant woman reaches week four to six, her thyroid medication dosage will almost always need to be increased. It is possible that her dosage will increase by anywhere from thirty to fifty percent.