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Re: What Can Happen to a Fetus if Mom has Untreated Hypothyroid Disease?From: Richard Chudacoff, MD (anonymous@obgyn.net)Sat, 5 Jan 2002 16:48:51 -0600 (CST)
At Sat, 5 Jan 2002, Daphne wrote: > >I am 38 and 5.5 wks pregnant. This is my first pregnancy. I'd been >having trouble conceiving, and was scheduled to get a standard day-3 >blood workup that would have included a TSH test, when I took an HPT and >found out I was pregnant (yea!). My OB ordered a blood test to confirm >the pregnancy, but all he ordered was the HCG. A friend of mine who is >at 16 weeks was tested as soon as she found out she was pregnant and put >on synthroid immediately. She is very concerned bc she thinks that my >doc should have ordered a TSH test along with the HCG bc --according to >her-- untreated hypothyroidism can lead to developmental defects in the >fetus like low brain function, etc. Is this true? > >About 7 years ago (before I was seeing my current OBGYN), I was treated >for a few months by an endo for hypothyroidism and eventually went off >of the synthroid bc my levels went back to normal. I know that at 8 >weeks, I will be getting a full blood workup that will probably include >TSH levels, but given my age and my background, should I call my doc (I >hate bothering him) and ask for a TSH test right away? What are the >risks to the fetus if the Mom has low thyroid? >Thanks, as always for your time and for your excellent advice. > >-- >Daphne > It is true that there is a potential for hypothyroidism in the mother to affect the unborn fetus. In my new ob panel I do check TSH. At 5.5 weeks estimated gestational age, your level of the thyroid is not going to affect the embryo, but it may affect the pregnancy. If there was a suspicion that you were hypothyroid, I probably would have ordered at TSH and a free T4, which measures the unbound thyroid hormone.
-- Richard Chudacoff, MD, FACOG Chudacoff Obstetrics & Gynecology, PLLC Sugar Land, TX
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