What are the risks of hypothyroidism in pregnancy?

Thyroid disorders are extremely harmful to women, especially women of childbearing age, not only threatening their own health, but also the development of their offspring, as follows: 1, leading to a decline in the baby’s intelligence The risk of certain diseases increases in babies born to women with hypothyroidism, most of which are intellectual and developmental problems: several studies have shown that pregnant women with clinical hypothyroidism, subclinical hypothyroidism, low T4emia or TPOAb positivity causes a significant increase in miscarriages and complications during pregnancy, and results in impaired fetal brain development, leading to a 6-8 point drop in IQ of the offspring, while women with these four diseases account for 10-15% of pregnant women. It is now believed that only by diagnosing hypothyroidism before or early in pregnancy and treating it early can we avoid impaired intelligence in offspring. However, hypothyroidism has no or only mild clinical symptoms, and these symptoms are easily confused with pregnancy reactions and are not easily diagnosed, thus leading to a low treatment rate. 2. Increase the chance of birth defects in children Hypothyroidism may increase birth defects in children. New research has found that women with thyroid disease are more likely to have offspring with heart, kidney or brain abnormalities. The study from the United States showed that mothers with thyroid disease (including both hyperthyroidism and hypothyroidism mothers, hypothyroidism is more common) produced babies with birth defects (brain, kidney, heart defects, as well as cleft lip, cleft palate, polydactyly, etc.) is about 18 percent. In the general population, the proportion is only about 3%. 3, for women’s health minus points Hypothyroidism not only affects the next generation, but also has a great impact on the health of women of childbearing age itself. The failure of women with hypothyroidism to receive early diagnosis and timely treatment during pregnancy may result in adverse birth events such as miscarriage, premature birth, placental abruption (a very serious complication that can threaten the lives of both mother and fetus), and perinatal fetal death. Given the enormous impact of hypothyroidism during pregnancy on the health of both mother and child, experts recommend that women of childbearing age actively check their thyroid function when they are preparing for pregnancy or early in pregnancy (preferably 8 weeks before pregnancy). If hypothyroidism is detected before pregnancy, treatment should be given to bring the thyroid function up to standard before conceiving the next generation; if hypothyroidism is diagnosed during pregnancy, pharmacological intervention should be given as early as possible, starting in the first 8 weeks of pregnancy to achieve the standard as soon as possible to ensure normal mental development of the offspring. Hypothyroidism is not a disease unique to women of childbearing age, but can affect both men and women of non-childbearing age. The recently retired soccer star Cristiano Ronaldo ended his sports career prematurely because of the effects of hypothyroidism on his health. The clinical manifestations of hypothyroidism are similar to those of “sub-health”, such as coldness, weakness, constipation, low appetite, drowsiness, memory loss, weight gain, etc. Therefore, it is often overlooked, delaying diagnosis and treatment. However, hypothyroidism can endanger the health of various tissues and organs throughout the body, and if not detected and treated in time, it can eventually increase the risk of myocardial infarction, kidney failure, and even lead to cognitive impairment in old age. Therefore, when you have symptoms of “suboptimal health”, such as unexplained fatigue that cannot be relieved for a long time, it is recommended that you go to the endocrinology department or related departments to check your thyroid function.