Wednesday, July 11, 2012

Hyperthyroidism in Pregnancy

Dr Deepika Tiwari, Gynecologist, Gurgaon 9911821669


www.gurgaongynae.in
http://www.drdeepikatiwari.blogspot.com/
http://www.gurgaongynecologist.webs.com/

Thyroid disorders are second most common endocrine dysfunction in child bearing age group . Symptoms of hyperthyroidism include tremors, heat intolerance, weight loss ,emotional liability , persistently increased pulse rate, decreased menstrual flow, etc.

Most common complication of hyperthyroid in pregnant patient is thyroid storm & heart failure. Hyperthyroidism or thyrotoxicosis is associated with adverse outcome like miscarriage, growth restriction, premature labor, placental abruption, preecclapsia.Fetal thyrotoxicosis  may lead to premature delivery , fetal craniosynostosis, exophthalmos, heart failure , hepato-splenomegaly , goitre & poly-hydraminos.


Diagnosis of hyperthyroidism include an elevated T4, T3 with supressed TSH level. To predict fetal thyrotoxicosis maternal TSH receptor autoantibodies  with obstetric ultrasound is used to asses fetal growth , heart rate & goitre.

1 comment:

Cheska said...

So heart failure is one of the complications of hyperthyroidism. It's scary. I mean, we have to see a doctor to be able to distinguish the effects of hyperthyroidism.

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