During the first few months of pregnancy, the fetus depends on the mother's thyroid hormone. Thyroid hormones (thyroid hormone) played an important role in the normal development of the brain. The lack of maternal thyroid hormones due to hyperthyroidism can have irreversible effects on the fetus. How is sick thyroid gland during pregnancy?

As hypothyroidism (decreased thyroid function) influences on the fetus

Early studies found that children born to mothers with hypothyroidism Hypothyroidism   during pregnancy had a lower IQ and lagged behind in psychomotor (mental and motor) development. With proper control, commonly by increasing the amount of thyroid hormone, hypothyroid woman giving birth to healthy children.

There is evidence that patients with chronic lymphocytic thyroiditis (CLT), which is also known as Hashimoto's thyroiditis, suggested an increased risk of miscarriage Miscarriage - is more common than you think . CRT - a condition in which the immune system attacks the thyroid gland, resulting in disruption and reduce its function. Some studies have shown an increased risk of stillbirth and miscarriage in pregnant women with CRT, while other studies have not revealed.

Laboratory tests of the thyroid gland and / or thyroid antibodies should be performed in women with a high risk of hypothyroidism. Detection and treatment of hypothyroidism in early pregnancy can prevent the deleterious effects of maternal hypothyroidism on the fetus. Women who take thyroid hormones before pregnancy, you need to regularly check the thyroid function during pregnancy, because it is very likely that the dose of thyroid hormone will need to be increased. Women should ask your doctor questions about further treatment to clarify this important point.

How pregnancy affects hyperthyroidism (overactive thyroid)

Pregnancy does not worsen hyperthyroidism and complicates treatment in women with this disease. A healthy thyroid gland is functioning normally during pregnancy. Less than 1% of women during pregnancy, thyroid function increases.

Like hyperthyroidism affect pregnancy

Uncontrolled hyperthyroidism can lead to premature birth Premature birth - Recognize the signals of the body in time   (up to thirty-seven weeks of gestation) and low birth weight. Some studies have shown an increase in blood pressure during pregnancy in women with hyperthyroidism.

This is a condition in which the thyroid hormones have very high levels, which can cause fever, diarrhea, rapid and uneven heartbeat, shock and death if left untreated.

It is always best to plan pregnancy and consult your doctor to check your thyroid condition and treatment plan before pregnancy, and control throughout pregnancy. However, if this did not happen, and you find that you are pregnant, you should immediately consult your doctor to check your thyroid condition and discuss a plan of medication.

How to control hyperthyroidism during pregnancy

Treatment for hyperthyroidism is very individual for each patient. The goal of treatment - to maintain normal levels of thyroid hormones. Treatment may include:

• Frequent testing thyroid hormone levels during pregnancy.
• Taking medicines that reduce the level of thyroid hormones in the blood (some drugs may affect the fetus and cause birth defects, so they can not be taken).
• The operation to remove part of the thyroid gland (if you have a hyperactive nodes).

The most commonly prescribed anti-thyroid drug called Methimazole or Tapazol, may be associated with birth defects in the fetus. It is recommended to stop taking the drug during the first trimester of pregnancy and taking Propylthiouracil and methimazole to return to reception at the beginning of the second trimester of pregnancy until the end. Treatment with radioactive iodine, in the form of tablets or liquid damages the thyroid cells and unsafe during pregnancy or breastfeeding. Women who receive treatment with radioactive iodine in the ablative dose for the treatment of Graves' disease, it is recommended to wait at least one year after treatment with radioactive iodine before pregnancy. Your doctor will tell you about the benefits and risks of treatment.

Is there a risk for the baby after birth

Graves 'disease occurs in about 1% of babies born to mothers with active Graves' disease or a history of this disease. Newborns can be hard to hit, they may require hospitalization and intensive care. In the most severe form of hyperthyroidism in the newborn can lead to a fatal outcome. In less severe forms, with good supervision, the consequences of Graves' disease in children is usually temporary. However, even under the best of circumstances, Graves' disease in the mother can lead to irreversible consequences in the child.

The cause of Graves' disease in newborns - is the penetration of the antibodies the mother through the placenta to the baby. Even women who received proper treatment for Graves' disease, maternal antibodies may be present for several years after that, and still pose a potential risk to the child. Antithyroid drugs (or Methimazole Propylthiouracil), which takes the mother may also have temporary or permanent effects on the child. Because of these concerns is extremely important to tell your doctor if you have or have had Graves' disease, so that you and your child have been under closer scrutiny.

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