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Pregnancy Problems

During pregnancy, your health is number one priority. That’s why we went straight to top pregnancy health experts for all the details you want to know about the most common pregnancy problems. In our pregnancy problems guide, you can read about a slew of pregnancy conditions – everything from hemorrhoids to gestational diabetes. Find out what any pregnancy symptom could possibly mean (are you swollen just because you’re expecting, or is it a sign of some complication?) and find out whether or not it’s worth a call to your OB. If you already know you’ve got a pregnancy complication or health condition, our comprehensive articles will give you the scoop on its causes and how it can affect you and baby. Plus, get treatment tips straight from medical experts and pregnant women like you. Yup, we've got answers to all your questions about pregnancy health problems right here!

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Graves' Disease During Pregnancy

If you have Graves' Disease, you probably want to know how your condition will affect you and baby throughout pregnancy. We've got answers.

What is Graves’ disease during pregnancy?

Graves’ disease describes a constellation of symptoms that affect several parts of your body, most notably the thyroid. Doctors call it an autoimmune disorder, since the body essentially attacks itself (rather than a bacteria or virus). Your thyroid is an important gland, and its job is to make hormones that regulate energy levels. With Graves’ disease, the immune system causes the thyroid to be overactive, making more hormones than you really need (aka hyperthyroid). That, in turn, accelerates every function in your body, from your heart rate to how quickly you digest a hamburger.

What are the signs of Graves’ disease during pregnancy?

There are a wide range of possible symptoms, including a goiter (enlarged thyroid, which is located on the front of your neck),trouble sleeping, hand tremors, a rapid heartbeat, frequent bowel movements, fatigue or muscle weakness, weight loss, irritability and heat sensitivity with increased sweating. In addition, some people develop inflamed tissue behind the eyes, which can cause them to bulge, as well as reddening or thickening of the skin, usually on the shins and the top of the feet.

Are there any tests for Graves’ disease during pregnancy?

Normally, your doctor would administer a blood test that measures thyroid function (whether you’re producing the right range of thyroid hormones) or searches for certain antibodies, but it can be difficult to diagnose Graves’ during pregnancy, since some of the symptoms match what’s naturally taking place in your body because you’re expecting (like fatigue and excess heat). And a more definitive test called a radioactive iodine uptake test (which measures how much iodine the thyroid uses) isn’t safe to give during pregnancy.

How common is Graves’ disease?

Women develop Graves’ disease 5 to 10 times more often than men, and the condition usually first starts in your 20s or 30s. An estimated 30 out of every 100,000 people develop Graves’ each year. It’s not likely that you’ll first develop Graves’ during pregnancy (in fact, symptoms frequently calm down at that point), but it may be discovered for the first time then since you’re already likely undergoing a battery of other tests.

How did I get Graves’ disease?

There’s often a genetic connection, so your mom or grandmother might have also had Graves’ or another autoimmune thyroid disease. Other potential factors include stress and infection.

How will Graves’ disease affect my baby?

Left untreated, Graves’ disease can have serious health consequences for your baby, so it’s important to get the right diagnosis and treatment. Otherwise, she may be at risk for thyroid problems, brain development issues, low birth weight and preterm birth. You may also be at higher risk for preeclampsia, placental abruption or miscarriage. In addition, because Graves’ is an autoimmune disorder, the antibodies that create the condition can travel through the placenta and hurt the baby. Your doctor may measure your antibody levels and closely monitor the baby for any effects.

See Next Page for treatments and resources.

-- Vera T. Fajtova, MD, endocrinologist at Harvard Vanguard Medical Associates in Boston and assistant professor of clinical medicine at Harvard University

 

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