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What Are The Repercussions Of Having Abnormal TSH, LFT Enzymes And Hemoglobin Values During 37 Weeks Of Pregnancy?

Posted on Fri, 7 Jul 2023

Question: I'm 37th week pregnant as per my LMP 23rd Oct 2018. Recently I had gone for few test i.e. HB, Urine(r\M), TSH, LFT, Glucose Fasting.

Please check the attached report.

Questions :
1) TSH level is fine during last month of pregnancy.
2) LFT enzymes Values.
3) Hemoglobin and Fasting results.

Please answer to all 3 questions individually(inline). Thanks in advance.

Answered by Dr. Deepti Verma (1 hour later)

Brief Answer:
Increased TSH, bit deranged LFT

Detailed Answer:

Hi,

1. TSH values are increased a bit for the last trimester of pregnancy, as it should be less than or equal to 3.5
2. LFTs are a bit deranged with increased SGOT levels and gamma glutamy transferase levels. These can be increased in obstetric cholestasis.
ALP and proteins are normal, as per the changes of the pregnancy.
3. Hemoglobin and fasting blood glucose are normal for the third trimester of the pregnancy.

Hope you found the answer helpful.
Regards,
Dr. Deepti Verma
OBGYN
Maternal and fetal medicine specialist

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepti Verma (37 minutes later)

For TSH value, is it a bit of concern? I will be visiting OBGYN tomorrow but what medication you would prescribe for the same. Though I will get it checked with my Gayne and get medication prescribed.

For LFT I have been prescribed Udiliv 150 mg (BD). Is it ok? Or should get dosage increased.

Answered by Dr. Deepti Verma (21 hours later)

Brief Answer:
Thyronorm 25 mcg

Detailed Answer:

Hi,

Thyronorm 25 microgram can be started after checking the patient's pulse rate, blood pressure and temperature.
Udiliv 150 mg BD is alright, LFT should be repeated after 1 week.

Regards,
Dr. Deepti Verma

Above answer was peer-reviewed by : Dr. Prasad