How to prevent thyroid disease during pregnancy?

Pregnancy is a special process of a woman’s body. She faces great difficulties and changes. The girl at this moment is experiencing a strong load, which affects all organs. Including changes may affect the child.

That is why so much have to look after their own health during pregnancy and childbirth. Doctors attach special importance to the thyroid gland. Not all women understand how this body is connected with the rest. In fact, it has a profound effect on overall health.

The biological role of TSH, T3 and T4

Thanks to the good work of the thyroid gland, the body needs the hormone it needs, thyroxin. As soon as a malfunction of the gland occurs, the hormone immediately ceases to enter the body, with the strongest effect.

The thyroid is a small organ that protrudes slightly on the surface of the neck. All its changes, which consist in increasing or forming knots, can be easily felt by hand. For a more accurate diagnosis, it is necessary to conduct an ultrasound study, which will display the full picture.

The thyroid-stimulating hormone (TSH) has a great influence on the functioning of the gland, all of which affect the functioning of the central nervous system.

Gland cells produce one of the strongest hormones, namely thyroxin.

It helps to do several functions at once:

  • helps a person grow and develop at a young age;
  • stimulation of metabolism;
  • prohormone

Thus, we can conclude about how great the role of hormones in our body. Without them, normal functioning of multiple organs is impossible.

Thyroid hormones during pregnancy

The thyroid gland produces several hormones. Therefore, during pregnancy it is important to investigate not only thyroxin, but also TSH. Only when a single hormone is detected, it is impossible to judge how healthy the organism is of a pregnant woman.

It often happens that with one hormone everything is in order, while the other is practically absent in the body. Accordingly, in order to somehow equalize the chances and replenish reserves, the thyroid hormone during pregnancy begins to work in an intensive manner.

How does the thyroid gland affect the mother and child?

As a rule, a woman takes blood in the laboratory to examine several hormones at once. First of all, it is TSH and thyroxin. Secondly, it is necessary to determine the hormone T4 in free movement.

Changes in thyroid hormones during pregnancy

A small decrease in the level of TSH in the blood is considered normal during pregnancy. Determine it yourself is impossible. This requires laboratory research.

For pregnant women of the first trimester, a value less than 2.5 mUn will be considered a normal indicator, while in the second trimester the indicator is 3 or less mUn.

Causes of an increase in T4 levels in pregnant women

The hormone in the body can be not only reduced, but also increased. This is much less common, however, and this is the place to be.

In the event that the indicator has a slight increase, so you should not worry.

However, if the figure is significantly larger than what is considered an average, then it is worth thinking about the possible reasons:

  • toxic goiter;
  • hyperthyroidism;
  • thyroiditis.

A pregnant woman will be able to feel a number of symptoms, according to which she will understand about the disorders in the body:

  1. Irritability.
  2. Anxiety.
  3. Anxiety.
  4. Loss of sleep and appetite.
  5. Nervousness.
  6. The skin is always hot.
  7. Diarrhea.
  8. Sharp decrease in body weight.

Often, many women associate these symptoms only with pregnancy. Although in fact it is necessary to think about a full survey, and first of all about passing tests for determining the level of T4.

Causes of T4 Reduction in Pregnant Women

Absolutely different reasons have a decrease in the level of T4 in pregnant women in the blood:

  • goiter;
  • hypothyroidism;
  • thyroiditis

As for the symptoms, it, unlike the one associated with an increase, will be completely opposite. Explicit alarm signals can be:

  • drowsiness;
  • lethargy;
  • apathy;
  • fast fatiguability;
  • slow heartbeat.

How to diagnose thyroid independently?

In the case of reducing the level of T4 is extremely necessary in time to contact a competent endocrinologist. The specialist will advise the use of certain hormones that will help in the body.

Why does thyrotropic hormone decrease during pregnancy?

A woman can learn about pregnancy through a blood test, which shows a high level of hCG. It is necessary in order to support pregnancy. In addition, the hormone greatly affects the functioning of the thyroid gland.

It produces a greater amount of hormones, which in an enhanced mode enter the body. The pituitary gland begins to realize that there are more microelements, respectively, it stops working in an enhanced mode.

This is an absolutely normal situation for any pregnancy. That is why the performance of a non-pregnant and pregnant woman will be different. Of course, the girl in the position of the average normal values ​​will be slightly lower.

The work of the thyroid gland is necessary for the proper development of mental activity and the functioning of the central nervous system.

Thyroid ultrasound during pregnancy

Doctors prescribe an additional examination of a pregnant woman in case of abnormal blood tests. If there is both an increased or decreased value of thyroid-stimulating hormone, an ultrasound scan may be required. This ultrasound diagnosis, which is considered absolutely safe.

Its results may be in the form of additional information necessary to complete the picture.

Ultrasound examination is considered available. In a number of public clinics it is carried out free of charge. If desired, and the existing malaise a woman can independently contact the specialists for ultrasound research.

Symptoms of hypothyroidism in pregnant women

Reducing the required amount of hormones in the body of a pregnant woman leads to a slight inhibition of all organs and the body as a whole.

This is manifested in the form:

  • depression;
  • forgetfulness;
  • excessive whining;
  • excessive hair loss on the head;
  • constant feeling of cold;
  • swollen and hanging eyelids;
  • wheeze;
  • changed voice;
  • painful swallow;
  • constipation;
  • muscle cramps;
  • shaking hands.

Note that the signs must manifest themselves together. It is simply impossible to imagine that one sign and became the cause of the study. If a woman notices several symptoms in herself, then she can consult a doctor for blood tests and further research.

Symptoms of hyperthyroidism during pregnancy

Pregnancy - the strongest hormonal failure and stress. As a result, there may be both an increase in the functions of the thyroid gland and its reduction. To understand in what direction the thyroid gland has changed, can only be based on the results of laboratory and research analyzes, ultrasound diagnostics.

The main symptoms of hypothyroidism are:

  • nervousness;
  • insomnia;
  • aggressiveness;
  • constant anxiety;
  • increased appetite;
  • crimson cheeks regardless of the time of year and day;
  • finger tremor;
  • increased body temperature;
  • cardiopalmus.

What are the norms of thyroid hormones?

Very often in such cases, the pregnancy in the first trimester is interrupted, because the body is experiencing a tremendous load of hormones, as a result of which it is not possible to bear the child.

Iodine deficiency during pregnancy

In the event that a pregnant woman keeps to a diet, namely, it includes in her diet foods that contain iodine, then she does not need to start using medicines at all.

In many cases, a small amount of the drug, iodomarin, is prescribed as prophylaxis. It is necessary from the beginning of the planning of pregnancy until its completion.

Only women living on the coast of the coast, there is no need to use iodine in medicines. Their food is rich in healthy vitamins and trace elements.

None of the researchers can not say exactly how badly and adversely the lack of iodine in the body will affect the health of the child. Perhaps it will have a negative effect, but perhaps it will not be reflected at all.

In order to follow a diet, you must eat in the diet:

  • sea ​​kale;
  • fish;
  • squids;
  • shrimp;
  • clams.

The minimum need for iodine in the body of a pregnant woman in the first trimester is 150 mg / k, in the second and third dose increases to 200-250. After giving birth during lactation and recovery, a woman needs to use 300 mg / k.

In the second trimester of pregnancy, the baby develops a thyroid gland, so iodine is used to support not only the mother, but also her child.

Remember, very often grandmothers go to pregnant women with good advice, bringing a glass of milk with a drop of iodine. It is absolutely impossible to do this. Iodine in liquid form and in pills are completely different things. In the first variation, iodine is simply not absorbed in the body; therefore, its use is considered inexpedient.

Who needs to pass the TSH at the planning stage of pregnancy?

There is an identified risk group that indicates a deficiency in the body of the hormone TSH.

The analysis is necessary to pass to those women who:

  • age category over 30 years;
  • an earlier enlargement of the thyroid gland was recorded;
  • the head and neck were irradiated;
  • increased cholesterol levels;
  • suffer from diabetes.

In order to learn about the presence of thyroid disease, it is necessary to pass a laboratory and research analysis, which reveals the level of TSH in the blood. It is not necessary to independently go to the thyroid gland ultrasound. Although this study is absolutely safe, it should be done according to the testimony of a doctor.

Yodomarin better to start using during pregnancy planning. Its daily dose should be 200 mg / kg, unless otherwise specified by your doctor. Reception continue until the end of the lactation period. When a woman goes to sea, she can stop taking the drug for a while.

After returning to your region, you should resume the use of funds in the same sizes and proportions. Reception of Yodomarina should be carried out in the morning until 12 o'clock. Please note that in this case it is best absorbed by the body.

Hyperthyroidism and hypothyroidism are serious complications in the body that must be started to fight. If one or two symptoms are detected, immediate medical attention is required. The specialist can tell from which side it is better to approach the solution of a particular problem.

Some drugs are aimed at restoring the functions of the thyroid gland, some, on the contrary, are necessary for its suppression. In rare cases, surgery is performed. It is acceptable for pregnant women, but not earlier than in the second trimester of pregnancy.


That is why experts advise to avoid problems, and not to think later on how to solve them. A pregnant woman at the planning stage should start taking iodine-containing products and drugs that will help the better functioning of all organs. In this case, you manage to cope with numerous problems.

In addition, the drug Jodomarin is absolutely safe and is advised to use it even in the form of prevention of diseases of the thyroid gland. Do not forget that a woman in the 2nd trimester of pregnancy is already bearing a child who has his organs, including he has a thyroid gland.

She needs a special feed that the baby receives from her mother. Therefore, the mother should double use iodine-containing preparations, so that there is enough for both the mother and the child herself.

Watch the video: Thyroid Disease in Pregnancy Video Brigham and Womens Hospital (October 2019).

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