Thyroid diseases in pregnancy Flashcards
What are the two main thyroid hormones?
Thyroxine (T4)
Tri-iodothyronine (T3)
What do thyroid hormones do?
regulate carbohydrate, lipid and protein metabolism, essential for normal growth and development of fetus
What are the symptoms of hypothyroidism?
- periorbital puffiness
- hair loss
- low mood
- lack of energy
- feeling cold
- weight gain
- muscle pain
What are the symptoms of hyperthyroidism?
- goitre
- diarrhoea
- weight loss
- tachycardia and palpitations
- heat intolerace
- bulging eyes
- tremors
What is another name for hyperthyroidism?
Grave’s disease
What is the management hypothyroidism?
- monitor blood levels
- thyroxine
What is the midwife’s responsibility in terms of consultation and referral if a woman presents at commencement of care with stable treated hypothyroidism?
A discuss
What is the midwife’s responsibility in terms of consultation and referral if a woman presents at commencement of care or in pregnancy with a new diagnosis of hypothyroidism?
B consult
What is the midwife’s responsibility in terms of consultation and referral if a woman presents at commencement of care with hyperthyroidism or develops it during pregnancy ?
B consult
Of hypothyroidism and hyperthyroidism which is more common?
hypothyroidism
What are the most common causes of hypothyroidism?
- autoimmune disease (Hashimoto’s)
- radiotherapy
- surgical
- lack of dietary iodine
- congenital
- pituitary gland or hypothalamic dysfunction
What is thyroid storm?
life threatening complication of hyperthyroidism characteristed by fever, irregular heart beat, vomiting, diarrhoea and agitation
What is hypothyroidism?
underactive thyroid gland
what is hyperthyroidism?
overactive thyroid gland
