by alviarin (1686 Posts), Fri Jun 24, 2011 03:10 pm
More than one-third of women who test positive for thyroid peroxidase antibodies during pregnancy will develop abnormal thyroid hormone levels within 2 years of giving birth, prompting researchers to call for more follow-up in this population.
“We need to be following up these women to try to catch their thyroid disease early, as this could have major implications for the health of the mother, baby and any subsequent babies who may be carried while the mother has a thyroid condition,” Potlukova said. “In addition, we need to educate women to be aware that having this antibody can have serious health implications for themselves and their families.”http://www.endocrinetoday.com/view.aspx?rid=83262
Most docs don't routinely test for antibodies here, so I'm not sure what the implications are for most of us. We have enough posters with thyroid issues that I thought I'd mention it just in case!
The Endocrine Society also reccomends thyroid screening via TSH (Thyroid Stimulating Hormone) for pregnant women in the following categories:1. Women with a history of hyperthyroid or hypothyroid disease, PPT, or thyroid lobectomy.
2. Women with a family history of thyroid disease.
3. Women with a goiter.
4. Women with thyroid antibodies (when known).
5. Women with symptoms or clinical signs suggestive of thyroid underfunction or overfunction, including anemia, elevated cholesterol , and hyponatremia.
6. Women with type I diabetes.
7. Women with other autoimmune disorders.
8. Women with infertility who should have screening with TSH as part of their infertility work-up.
9. Women with previous therapeutic head or neck irradiation.
10.Women with a history of miscarriage or preterm delivery.
http://www.endo-society.org/guidelines/ ... partum.pdf
Hypothyroid mom to
Connor (severe pre-e at 38 weeks)
Claire ("mild" pre-e at 37 weeks)
Annabelle (chronic HTN & GD, superimposed pre-e @34 weeks, induction @37 weeks)