Hypothyroidism

I was diagnosed with hypothyroidism 1 month before finding out I was pregnant. My BMI is also 56. My first check up post positive pregnancy test was with a resident who seemed totally unconcerned with my thyroid condition and BMI combo. She also sent over baby aspirin to the pharmacy w/o speaking to me about it until I messaged and asked why. She then stated it’s because I’m at a moderate risk of preeclampsia and to begin taking it at 12 weeks. I don’t like that this wasn’t communicated to me at our appt and I’m stressed out bc I don’t feel taken care of. Thyroid disease and BMI combo would be a reason to be potentially considered high risk pregnancy period but she said I was low risk pregnancy. Does anyone have any personal experience with this? I know it’s long!!
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I am taking both baby aspirin and medication for my thyroid being high. Preeclampsia isn’t always for those with high bmi or thyroidism - can be with high blood pressure or other problems (some studies now show the male donor can be a reason for eclampsia) It’s just to prevent anything happening in the future

@Alexis She said the preeclampsia risk was bc it’s my first baby & high BMI. She isn’t concerned with the hypothyroidism which is what worried me.

I know my doctor wanted my thyroid to stay below a 2.5. Mine is a 2.9 without medication. It would depend on your blood work. Your thyroid raises when pregnant. Mine is normal when I’m not pregnant but raised when I became pregnant. But if you have a concern, you can always bring it up with your doctor and try to get more detailed answers. Or get a second opinion

But also, you have a preeclampsia risk… so right now you are not a high risk due to not having it. But I take baby aspirin to help prevent preeclampsia also. (Not for my thyroid). I’m not considered a high risk yet until diagnosed with it. And also my bmi is higher than most

I found out today I’m high risk no explanation or nothing and I was sent aspirin I don’t have no high blood pressure and I’ve delivered 7 children vaginally no complications only thing I could say is because I’m 39 years old now I don’t know really why they don’t disclose this at the appointment you wait for 1hr and doctor see you within 15-20 mins

Are you on medication for it now that’s being followed by an endocrinologist or a maternal fetal medicine doctor? I was diagnosed with subclinical hypothyroidism the day I tested positive for pregnancy and was referred to both of those doctors right away. The MFM really isn’t worried about me now that I’m medicated but I’m getting bloodwork once a month to get my thyroid levels checked!

@Courtney I’ve been on medication since 1 month before pregnancy when I was diagnosed. OB didn’t ask for bloodwork, levels, anything. I’m just following up with my PCP per protocol to monitor the thyroid but OB seemed unphased— once again tho she was a resident which worried me.

@Nola Sunshiine I guess the new protocol is if you’re a moderate risk of preeclampsia then they want you to take the aspirin. Considering your age and I assume you’re African American, those two things make you moderate risk for that. As for why you’re a high risk pregnancy though I’m not sure. I’m sorry, that’s really frustrating.

@Amber they didn’t inform me called me and told me I had an appointment with high-risk and at today’s sonogram they gave me additional appointments for genetics. It’s much easier when things are explained especially when pregnancy can be very unpredictable

@Nola Sunshiine wow that is terrible. I wish they’d give us more information, especially to say you’re high risk and just leave it that is unprofessional. On the good side though, at least you’ll get better care at the high risk doctor and more info. This is a rare healthcare situation where doctors are caring for 2 patients at once (mom & baby) they need to be better at giving the info.

@Nola Sunshiine I believe with your age, it would be considered high risk. I know geriatric pregnancy is considered 35 and older

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