Pregnancy-related Hormone Disorders like Management of Diabetes in Pregnancy, Thyroid Problems

Endocrinology Hospital in Yeshwanthpur, Bangalore

Thyroid dysfunction is seen to be higher in pregnant women who suffer from diabetes especially T1DM. Hyperthyroidism in diabetic women who are pregnant is seen in different ways as described below.

  • Hypertension in Lungs

This is when the blood pressure surges in the arteries of the lungs and also to the right location of the heart.

  • Preeclampsia

Preeclampsia is a condition where the pregnant woman experiences high blood pressure in the 20th week of the pregnancy. There are symptoms shown of abnormal kidney functioning or liver functioning. Sometimes preeclampsia can occur after giving birth (postpartum preeclampsia). Hypertension can stress out the heart causing heart problems.

  • Separation of the Placenta

This is a condition in which the placenta deviates from the uterine wall before the woman can give birth. The placenta is needed for the nutrition of the baby through the umbilical cord.

  • Thyroid surge

A thyroid surge is when the thyroid gland overworks and causes a storm in the thyroid hormones that can lead to heart failure.

The babies conceived with diabetic women with hyperthyroidism can show the following symptoms.

  • Decreased birth weight, as the baby is usually born with a birth weight of lower than 5 pounds.

  • Has goitre or enlarged thyroid gland.

  • Premature birth is when the baby is born before the birth time or before completing 37 weeks in the womb.

  • Stillbirth: The baby may be not alive at birth (stillborn) or can die before the birth time sometimes before 20 weeks (miscarriage).

  • Autoimmune Damage: This is when the baby suffers from damage from the antibodies produced due to conditions like Grave’s disease. The antibodies cross the placental barrier and can harm the baby. Also, the baby can end up with Grave’s disease if the radioactive iodine treatment is given to the mother during pregnancy.

Hypothyroidism in a pregnant woman can also be seen in different ways as listed below.

  • Gestational hypertension is when the mother suffers from hypertension mostly after 20 weeks of pregnancy which goes off after giving birth.

  • Anaemia: It is seen when there is a lack of oxygen in the blood due to the lack of red blood cells.

  • Preeclampsia, To know more visit out diabetes center in Yeshwanthpur, Bangalore.

  • Separation of the placenta (placental abruption).

  • Postpartum Hemorrhage (PPH): This is seen as heavy menstrual bleeding after giving birth to the baby within 1 day. This is a serious situation which can persist for up to 12 weeks. 

  • Heart Failure: This is when the heart fails to pump blood.

  • Myxedema: It is when hypothyroidism is left untreated and can lead to a coma or death.

Complications for the baby

  • Decreased birth weight.

  • Thyroid disease is when the antibodies in autoimmune conditions like Hashimoto’s disease can overcome the placenta and reach the baby.

  • Infantile Myxedema is seen when there is heightened hypothyroidism and the baby suffers from ‘Dwarfism’, decreased brain functioning, etc. The child does not grow above 4 feet in height and may or may not have the intellectual abilities for normal daily functioning.

  • Low IQ is when babies born through women suffering from hypothyroidism which is left untreated also suffer from having a lowered IQ. This is especially seen when the situation is not treated in the first trimester. Book an appointment today for the best treatment.

  • Stillbirth or miscarriage.

Treatment for hyperthyroidism during pregnancy includes the use of antithyroid drugs like Propylthiouracil, Methimazole, radioactive iodine, etc. Hypothyroidism is treated with drugs like Levothyroxine which replaces the T4 hormone in the body.

Call Us