Getting pregnant with thyroid hypothyroidism: is it possible to carry a healthy child

The work of the reproductive system of the female body directly depends on the state of the thyroid gland. Insufficient production of thyroid hormones can be one of the causes of infertility, various disorders during gestation and congenital anomalies in a child. Medical practice shows that in the female population, thyroid hypothyroidism is diagnosed much more often than in men. Sooner or later, a woman with such an ailment begins to be bothered by the question of whether it is possible to become pregnant with thyroid hypothyroidism and how such a disease will affect the child’s condition.

Types of hypothyroidism during pregnancy

With a significant lack of thyroid hormones in the blood, women talk about such a pathology as manifest hypothyroidism. The primary and secondary form of such a pathology is diagnosed extremely rarely and in most cases is caused by the following disorders:

  • diseases of the cardiovascular system;
  • problems with intelligence;
  • metabolic disorders in the body.

With overt hypothyroidism, complaints rarely occur, and it is difficult to identify it during pregnancy.

Primary subclinical hypothyroidism is diagnosed when thyroid-stimulating hormone levels are much higher than normal. In women during pregnancy and planning a child, the hormone indicator should not exceed 2.5 Honey / l.

Medical practice shows that such a combination as pregnancy and subclinical hypothyroidism are detected quite often. Often you can hear from doctors that the patient became pregnant and gave birth with hypothyroidism. The fact is that the conception of a child is quite possible if the pathology is at an early stage of its development. Despite this, the course of pregnancy and intrauterine development of the fetus can be accompanied by various problems and disorders.

For a long time, patients may not be aware of the presence of subclinical hypothyroidism, since there are no complaints about their well-being. Laboratory studies show that the thyroid hormone is within the normal range.

Pregnancy with hypothyroidism

Pregnancy causes various changes in the female body, so any diseases of the thyroid gland can provoke serious problems. In the event that a woman has any abnormalities in the thyroid gland or hypothyroidism in any form is detected, then before pregnancy, it is necessary to undergo compulsory treatment.

With a successful conception, the patient needs:

  • visit your gynecologist as early as possible and register;
  • throughout the entire period of pregnancy, consult with an endocrinologist about your condition;
  • maintain strict control of hormone levels throughout the entire period.

In the maternal body, thyroid hormones contain iodine, which plays an important role in the full development of the fetus. It is iodine that actively participates in the formation of the child’s nervous system, its metabolic processes and the development of the brain. In the event that during pregnancy any malfunction of the thyroid gland occurs, then this can cause various defects.

In the event that, with hypothyroidism, in the absence of the necessary hormonal correction, the woman still becomes pregnant, then the following symptoms may appear:

  • increased dryness of hair and skin;
  • swelling of the limbs;
  • fast weight gain;
  • increased sleepiness;
  • weakness of the whole body;
  • low efficiency;
  • stool problems;
  • feeling anxious and depressed.

When diagnosing hypothyroidism during pregnancy, it is imperative to consult with a specialist and begin the necessary treatment as soon as possible. It should be remembered that the normal functioning of the thyroid gland is especially important in the early stages of pregnancy, when fetal organs and systems are being laid and formed. Childbirth with hypothyroidism is carried out in medical institutions of a narrow profile specializing in diseases of the endocrine system.

Labor Management Protocol for Illness

Those women who gave birth with hypothyroidism say that this is possible naturally without any complications, and if there are obstetric indications, a cesarean section is performed. One of the most common complications that develops in the postpartum period is the weakness of the contractile activity of the uterus. In addition, with hypothyroidism, there is a danger of disruption in the homeostasis system, therefore, specialists necessarily carry out the prevention of bleeding.

To prevent various disorders, a special protocol has been developed for the management of childbirth, which describes the symptoms, causes, treatment and various types of doctor’s intervention during childbirth. In fact, the correct management of childbirth in women with hypothyroidism is considered the key to maintaining the health of the child and woman.

Thyroid health after childbirth

Medical practice shows that a woman can develop hypothyroidism immediately after childbirth. The main cause of this pathological condition is postpartum thyroiditis, and the frequency of its occurrence in the first year after the birth of a child reaches 15%. Experts say that such a disease is of an autoimmune nature and during its course, antithyroid antibodies are present in the blood. In most cases, the thyroid gland recovers after about a few weeks or months after the onset of postpartum thyroiditis. However, some patients develop hypothyroidism after about 2–4 years.

Another reason for the development of thyroid disease after childbirth is considered to be a pituitary infarction, which occurs as a result of severe blood loss. Most often, this phenomenon occurs in those countries where women are deprived of the necessary obstetric care. Postpartum hypothyroidism can occur as a result of lymphocytic hypophysitis. In the event that postpartum thyroiditis is diagnosed, then lymphocytic hypophysitis is present during pregnancy.

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