**hypothyroidism in pregnancy** In general, thyroid diseases such as hypothyroidism and hyperthyroidism are relatively common during pregnancy. The treatment and control of each of these thyroid disorders during pregnancy is very important for the mother and child. Thyroid hormones in the first three months of pregnancy are very important for the normal development of the brain and nervous system of the fetus. Learn how to control hypothyroidism during pregnancy... In the first trimester, the fetus is highly dependent on the hormones produced by the mother's endocrine glands... After weeks, these hormones are transferred to the g1 site through the thyroid gland... The fetus begins to produce the hormones needed by the body... Thyroid disorders during pregnancy affect the physical and mental health of the mother and child... The most common cause of hypothyroidism is a disorder in the body's immune system immunity).. called **Hashimoto's thyroiditis**.... In this condition, the body's immune system causes the destruction of thyroid cells... it is unable to produce the hormones needed by the body... ### **Symptoms of hypothyroidism in pregnancy** Symptoms and signs of hypothyroidism are the same in pregnant women and other people with this disease... Sometimes these symptoms are confused with pregnancy symptoms... Symptoms of hypothyroidism include: - Feeling very tired - Depression - Weight gain - Excessive sleepiness - Dry hair - Hair loss - Sensitivity to cold and cold intolerance - Muscle cramps - Severe constipation - Lack of concentration and poor memory ### **Diagnosis of hypothyroidism in pregnancy** To diagnose hypothyroidism during pregnancy, it is necessary to perform thyroid tests during pregnancy... These tests include the following.... **TSH (Thyroid Stimulating Hormone)**: The first and most important test is... - In the first trimester, TSH should be between 0.1 and 2.5 mIU/L... - It is used to evaluate the actual level of thyroid hormone in the blood.... - In hypothyroidism, free T4 is usually less than normal. - To examine Hashimoto's, which is the most common cause of hypothyroidism in pregnancy.... - The presence of these antibodies indicates autoimmune thyroid disease... #### **When should the test be done?** - If there is a risk: in early pregnancy or even before pregnancy - If hypothyroidism is confirmed: During pregnancy, the level of TSH and Free T4 should be checked every 4 to 6 weeks in order to adjust the drug dosage.. Hypothyroidism can be easily treated and controlled. increase.. In general, the goal of treating hypothyroidism in pregnancy is to maintain the thyroid hormone level in the normal range suitable for the mother and child.. Checking and monitoring the level of thyroid stimulating hormone (TSH) is very important to adjust the dose of the drug... Therefore, pregnant women with hypothyroidism should not neglect regular blood tests... Read more: **How ​​to take levothyroxine tablets during pregnancy** Click on the link to read how to take hypothyroidism pills during pregnancy... According to studies, failure to treat and control hypothyroidism during pregnancy can cause complications, which include: - Preeclampsia or dangerous blood pressure in late pregnancy - Anemia - Abortion - Low birth weight deficiency - Heart failure - Premature delivery **The effect of hypothyroidism on the fetus:** - Impairment of brain development and neural development, especially in the first trimester of pregnancy when the fetus is completely dependent on the mother's thyroid hormones.... - Decreased intelligence (low IQ) in the child.. - Low birth weight - In some cases, partial congenital heart or kidney defects - Impaired mental and motor development of the child ### **Methods to prevent complications of hypothyroidism in pregnancy** Some researchers and medical organizations have suggested strategies for thyroid disease screening that include: - Women who are planning to get pregnant should do a thyroid disease screening test before trying to get pregnant... - If mothers are facing problems such as goiter, high level of thyroid antibodies, hereditary and family history of thyroid disease and having symptoms of hypothyroidism, they should be tested for hypothyroidism. Drug dosage... - People who have hypothyroidism before pregnancy should be re-tested to determine the amount of medicine for them... During pregnancy, the medicine dose increases by 50%... - The amount of medicine used during pregnancy is different, which means that the mother needs to do regular blood tests to control the medicine dose... Over time, as the fetus grows bigger in the mother's womb, many mothers need more doses for hormone replacement. Services provided in the office of **Dr. Ahmad Fanai**, click on its link... You can consult us at **contact** .

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