January marks Thyroid Awareness Month, a time to highlight the importance of thyroid health. The thyroid gland plays a crucial role in regulating bodily functions, and any imbalance can lead to serious health issues. For expectant mothers, thyroid disorders can have significant implications, making awareness and early detection essential for a healthy pregnancy.
The Impact of Thyroid Disorders on Pregnancy
Dr. Shelly Singh, Senior Consultant, Obstetrics & Gynaecology, Fortis La Femme GK, explains that thyroid conditions can affect fertility and pregnancy. Women with pre-existing thyroid disorders may need medication adjustments before and during pregnancy. Furthermore, post-partum thyroiditis can occur after delivery.
Thyroid hormones are vital for the mental and neurological development of the baby. Dr. Singh emphasizes the importance of maintaining proper thyroid function during pregnancy to ensure normal brain development and motor skills in the child.
Symptoms of Thyroid Disorders in Pregnancy
Hypothyroidism (underactive thyroid):
Extreme fatigue
Memory or concentration problems
Muscle cramps
Severe constipation
Hyperthyroidism (overactive thyroid):
Fast heartbeat
Heat intolerance
Tremors in hands
Risks of Untreated Thyroid Disorders
According to Dr. Dimple Bordoloi, Head of the Department, Obstetrics & Gynecology, MASSH-MANAS Super Speciality Hospital, thyroid disorders can lead to several complications during pregnancy:
Subfertility (difficulty in conceiving)
Increased risk of miscarriage, preterm labor, and low birth weight
Higher chances of hypertension (PIH) during pregnancy
Untreated thyroid disorders can cause irreversible effects on the fetus, including low IQ and impaired brain and motor development.
Dr. Singh also highlights that untreated thyroid conditions can cause serious complications such as miscarriages, stillbirth, high blood pressure, anemia, and even congestive heart failure in rare cases. For the baby, untreated thyroid disorders can lead to developmental issues and heart problems.
Diagnosis and Monitoring
Early detection is key. Dr. Singh advises that thyroid disease should be diagnosed as early as possible, ideally before conception, through blood tests measuring free T3, T4, and TSH levels. Regular monitoring throughout pregnancy is essential to ensure the health of both mother and baby.
Treatment Options
Thyroid disorders in pregnancy are treatable with oral medication. Dr. Singh reassures that with proper diagnosis and treatment, expectant mothers can have a normal pregnancy and delivery. A healthy lifestyle, including a balanced diet with iodine-fortified salt and whole grains, helps maintain thyroid health.
Dr. Bordoloi stresses that thyroid screening during pre-pregnancy counseling and early antenatal check-ups is crucial. With controlled thyroid levels, women can have a successful pregnancy and a healthy baby. It’s essential for mothers to maintain their TSH levels below 2.5 during the first 12 weeks and aim for 3 after that.
Thyroid health plays a critical role in both maternal and fetal well-being. By being aware of the symptoms, risks, and treatment options, expectant mothers can ensure a healthier pregnancy. Regular screening and timely intervention can prevent complications and promote the development of a healthy baby.
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