Wednesday, August 7, 2013

Thyroid disease

1) Total T4 and T3 increase in pregnancy - monitoring requires free T3 / T4 and TSH
2) Anti-thyroid drugs should be used through-out pregnancy. 


- Discontinue beta-blockers after symptomatic improvement
3) Neonatal symptoms may not present for up to a week after delivery

4) Breast-feeding not contra-indicated - very low concentration of PTU in breast-milk.

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