Thyroid disease & pregnancy
Seven's On Call
 By Dr. Jay Adlersberg
(New York-WABC, December 21, 2006) - Thyroid problems during pregnancy are 
often picked up by alert doctors with simple blood tests. When thyroid trouble 
is not discovered, the results can be premature births, miscarriage and low IQ 
babies. One local doctor says there's a way to prevent pregnancy trouble due to 
thyroid disease.

Seven's On Call. 
Mercedes Decynski has two very cute sons, 3-month-old Adam and 19-month-old 
Brad. She had two healthy pregnancies with the boys, despite having an 
underactive thyroid. It's called hypothyroidism, and these thyroid replacement 
pills got her back to normal. 

"In my first trimester, my hormone levels were increased," Decynsk said. "Then 
I stayed at that same level throughout my pregnancy." 

It's something hormone specialists know, that hypothyroid women need more 
hormone during pregnancy. Not treating thyroid problems correctly can lead to 
premature deliveries, miscarriages and lower IQ levels in the child. 

Dr. Alex Stagnaro-Green, of University Hospital, New Jersey Medical School, did 
a study 15 years ago showing that an antibody test might predict who would have 
trouble. 

"Twenty percent of the women have thyroid antibodies, but perfectly normal 
thyroid function," Dr. Stagnaro-Green said. "Just by having those antibodies, 
their risk of miscarriage doubles." 

Premature births go up as well. The test is as simple as taking a tube of 
blood. 

Right now, tests done in women at the beginning of pregnancy do not include 
mandatory thyroid testing. 

By testing for these antibodies and treating the 20 percent of patients who had 
them with thyroid hormone, researchers found in a study just this year that 
they could reduce preemie births and miscarriages to normal. Until testing 
becomes routine ... 

"A woman should have her thyroid function checked if she had a family history 
of thyroid disease, symptoms of an underactive thyroid, or a history of preterm 
delivery or miscarriage," Stagnaro-Green said. 

If researchers can repeat the results of the 2006 study showing that treatment 
for women at risk for thyroid problems improves their outcomes, screening for 
thyroid problems could become a mandatory part of pregnancy testing. 

(Copyright 2006 WABC-TV)

http://abclocal.go.com/wabc/story?section=health&id=4871886

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