Hypothyroidism and Pregnancy
Woman with Hypothyroidism problem need higher dose of thyroid hormone. With high dose constant monitoring on hormone level is required. TSH level measured every four weeks until it becomes normal. Once the normal level is obtained, every three month check up is sufficient.
Woman with maintained thyroxine(T4) level do not face any difficult due to hypothyroidism and can have normal children.
After deliver, a woman will again switch on to prior pre-pregnancy dose after doctor’s consultation.
Just remember :
- T4 and TSH should be checked regularly to make sure the dose is correct when planning the pregnancy
- Do not forget to take your medicine regularly
- Once you are pregnant, get your T4 and TSH checked every 3 months, and get Your dose adjusted accordingly
- Do not forget taking her iron tablets (usually prescribed during pregnancy) 8 hours away from the thyroxin, as iron interferes with thyroxin absorption.
- Make sure that the baby’s cord blood is tested for T4 and TSH: if it is not done in the cord blood itself, it should be done after 5 days of age, definitely by the first week.
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