In a message dated 2/26/02 1:03:01 AM US Eastern Standard Time,
[log in to unmask] writes:


> Also demand both a Free T3 and Free T4 test regularly.  Birth defects are
> more common in women who have poorly treated thyroid problems.   There is a
> higher incidence of Downes Syndrome among women with hypothyroidism. >>>

Just to add: In my opinion, the most dangerous combination of all is to be
both hypothyroid and pregnant. In addition to the increased risks for Down's
Syndrome; birth defects, mental retardation, and miscarriages at all stages
of pregnancy are more common. There is also a higher incidence of
complications during the pregnancy, prematurity, and delivery complications
in hypothyroid women.

But to me, the most frightening thing is: many doctors are unaware of the
risks of hypothyroidism during pregnancy. And, few seem to realize that it is
not unusual for the need for thyroid replacement during pregnancy to double.
Tell doc to listen to Mom, to heck with the lab slips.

Because elevated levels of estrogen during pregnancy, levels of Thyroxine
Binding Globulin also goes up. Because of this, you can have a high TOTAL T4
level and be hypothyroid. If the doc measures the Free T4, it will be normal
or low. If the doc only does total T4, you may end up with a cut in your meds
at the worst possible time.

But (here comes my mantra): Thyroid status is a diagnosis, NOT a blood test.
If your hair starts falling out, your body temperature drops, you get fatigue
beyond what you expect from your pregnancy, it is urgent that you get help.
Even brief periods of hypothyroidism during pregnancy are an unnecessary
risk.

Doc Don

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