What should I do if I get pregnant with hypothyroidism?

Hypothyroidism is a disease that is somewhat hereditary, but sometimes women need to pay special attention to it when they suffer from it during pregnancy. After all, it is easy for the condition to worsen during pregnancy, so proper health care is needed at this time.

1. Regular check-ups are necessary during pregnancy. For patients with hypothyroidism and pregnancy, the body's demand for thyroid hormones changes with the increase of gestational age. Therefore, FT3, FT4 and TSH must be checked regularly and the drug dosage must be adjusted to ensure the normal development of the fetus.

2. Do not stop taking hypothyroidism medications. If the pregnant woman is still suffering from hypothyroidism, the development of the fetus will be affected, especially the development of the brain and bones, which may lead to cretinism. However, if the pregnant woman's thyroid function remains stable and normal during pregnancy, the child can be completely normal.

3. After the fetus is born, you should also closely observe the baby's daily life. If the baby shows symptoms such as drowsiness, slow reaction, and refusal to eat, you should seek medical attention in time.

4. After delivery, continue taking the medication and adjust the dosage in time according to the thyroid function status.

5. Once hypothyroidism is diagnosed, exogenous thyroxine (L-T4) should be supplemented in a timely and sufficient manner. The earlier the treatment is started, the better. It is best to achieve the standard of serum TSH < 2.5 miu/l at the beginning of pregnancy; serum FT4 is maintained at the upper 1/3 level of the normal range of non-pregnant adults; serum TT4 is maintained at 1.5 times the normal value of non-pregnant adults.

6. Thyroid function must be normal (FT3, FT4, TSH) and TGAB and TPOAB should also be noted.