PREGNANCY-BIRTH Messages for July, 2002: Re: 'Subclinical hypothyroidism' and pregnancy

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Re: 'Subclinical hypothyroidism' and pregnancy

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 16 Jul 2002 19:08:46 -0500 (CDT)

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In reply to: A.L.: "'Subclinical hypothyroidism' and pregnancy"

At Tue, 16 Jul 2002, A.L. wrote: >
>QUESTION: If I'm 25 weeks pregnant pregnant and have a TSH result
>between 5 and 10 mIU/L, and a Thyroid Peroxidase AB reading of 31.8
>IU/mL (ref. range between 0.0-2.0), should my ob/gyn paying extra
>attention to my thyroid, or are my results OK?
>
>If the ob/gyn should be paying extra attention, how do I go about
>suggesting this without looking like a creep?
>
>BACKGROUND
>
>I'm a 37-year-old woman having an easy pregnancy. But, at 6 weeks
>post-gestation, I had a TSH test. The result was 7.7.
>
>Had a retest at week 10 and got a TSH of 6.03, and a Thyroid Peroxidase
>AB thyroid antibody result of 31.8 IU/mL.
>
>Several studies say a maternal TSH over 5 correlates with a decrease in
>the baby's IQ.
>
>Two ob/gyns have told me the TSH results don't matter, and that they
>don't know what a Thyroid Peroxidase AB test was.
>
>Are the ob/gyns shrugging off the thyroid results because ob/gyns
>disagree with endocrinologists about the importance of moderately high
>TSH readings?
>
>If not, and the problem is that the thyroid study news has been slow to
>spread, should I try to tell the doctor about the papers? Or should I
>assume that any thyroid-related damage is already done and keep my mouth
>shut?
>
>- allbell@vnet.net

I would be treating you for hypothyroidism, though I doubt there is much danger of injury to your baby.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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