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What Are The Adverse Effects Of Thyroid Disorder On Foetus During Pregnancy?

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Posted on Wed, 28 Jan 2015
Question: Hi doc I am 14 week pregnant. I was previously diagnosed by hypothyroid and was taking thyronorm 25 mcg. I got my lab result today my tsh value has rised to 7.4. Doc has increased the dose to 50 mcg now. Does the development of my babies brain has affected already. What can I do
doctor
Answered by Dr. Dr. Rakhi Tayal (22 minutes later)
Brief Answer:
Difficult to predict.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
During the first trimester, the fetus depends on the mother’s supply of thyroid hormone but after 10-12 weeks it starts producing its own thyroid hormone.

We cannot predict at the moment whether your baby has already been affected by hypothyroidism because you are 14 weeks pregnant and by this time the baby has started producing his/her own thyroid hormone.

However get regular ante natal checkups done to rule out or detect early complications of hypothyroidism. These include anemia, low birth weight and pre eclampsia. So get your hemoglobin count, ultrasounds and BP monitored at regular intervals.
Continue with the synthetic thyroid hormone and keep a watch on above mentioned parameters. Also get the tests repeated every 6-8 weeks to keep an eye on the levels and hence adjust the dose accordingly.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Rakhi Tayal (20 minutes later)
Hi doc I came to know my free t3 is 1.3 which is normal. I am very much concern about the brain development of my baby. We had nt scan which says its normal.what else I can do
doctor
Answered by Dr. Dr. Rakhi Tayal (22 minutes later)
Brief Answer:
No need to worry.

Detailed Answer:
Hello.
Thanks for writing again.
If free T3 and t4 levels are normal then there is no need to worry. The normal NT scan is also an encouraging finding. Just get your regular antenatal check up done and keep an eye on the thyroid levels.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Rakhi Tayal (3 hours later)
Hi doc one thing I want to one ask why my tsh has elevated so much. Can I be assured that my tsh does now effect my baby brain development.if I monitor my tsh values from now onwards will my baby be safe with out brain improper development. Thanks for your answers
doctor
Answered by Dr. Dr. Rakhi Tayal (12 minutes later)
Brief Answer:
Normal free T3 levels will not cause any developmental defect.

Detailed Answer:
It is normal to have a rise in TSH levels during early pregnancy due to an increase in the requirement of thyroid hormone. Now onwards these levels are not likely to affect your baby's development as you will monitor these regularly. Normal free T3 and T4 levels suggest that your baby was getting enough thyroid hormone through the blood. So, you need not worry.
Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14043 Questions

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What Are The Adverse Effects Of Thyroid Disorder On Foetus During Pregnancy?

Brief Answer: Difficult to predict. Detailed Answer: Hello, Thanks for trusting us with your health concern. During the first trimester, the fetus depends on the mother’s supply of thyroid hormone but after 10-12 weeks it starts producing its own thyroid hormone. We cannot predict at the moment whether your baby has already been affected by hypothyroidism because you are 14 weeks pregnant and by this time the baby has started producing his/her own thyroid hormone. However get regular ante natal checkups done to rule out or detect early complications of hypothyroidism. These include anemia, low birth weight and pre eclampsia. So get your hemoglobin count, ultrasounds and BP monitored at regular intervals. Continue with the synthetic thyroid hormone and keep a watch on above mentioned parameters. Also get the tests repeated every 6-8 weeks to keep an eye on the levels and hence adjust the dose accordingly. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal