thyroid-1 - THYROID DISEASE IN PREGNANCY Physiologic...

Info iconThis preview shows pages 1–7. Sign up to view the full content.

View Full Document Right Arrow Icon
THYROID DISEASE IN PREGNANCY
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Physiologic Changes in Pregnancy Free thyroxine levels remain within the normal range during pregnancy (though total thyroxine levels are increased secondary to increased TBG.) TSH decreases slightly in first trimester. The thyroid gland increases slightly in size during pregnancy.
Background image of page 2
Hypothyroidism Untreated patients with hypothyroidism rarely conceive and carry a pregnancy. Treated hypothyroidism usually has no associated pregnancy complications.
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Hypothyroidism Some patients will require increased levothyroxine doses during their pregnancies. Monitor thyroid function tests each trimester and at other clinically indicated times. Prenatal vitamins can decrease the absorption of levothyroxine.
Background image of page 4
Hyperthyroidism 95% of hyperthyroidism in pregnancy is secondary to Graves’ Disease. A good pregnancy outcome can be expected in patients with good control.
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Hyperthyroidism Untreated hyperthyroidism is associated with decreased fertility, an increased rate of miscarriage, intrauterine growth retardation
Background image of page 6
Image of page 7
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

Page1 / 15

thyroid-1 - THYROID DISEASE IN PREGNANCY Physiologic...

This preview shows document pages 1 - 7. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online