Most Doctors Do NOT Know the Narrower TSH Range for Pregnancy.

[Clutter]

Dana Trentini's story and how she came to blog hypothyroidmom.com

thyroidchange.org/2/post/20...

[LouiseRoberts]

Thanks for posting...

L

x

[kosmickaz]

I don't get this. Why should the TSH have a narrower range for pregnancy?!

This makes no logical sense. The same patient pregnant / not pregnant - different labs!

Yet another nonsensical policy from the RCP. They are completely BONKERS.

[Clutter in reply to kosmickaz]

Hi Kaz,

That's from a USA site where the recommended TSH range is 0.3-3.5, I think, as opposed to the older recommendation of up to TSH 10.

Nevertheless, I agree the RCP are completely bonkers for other reasons

[kosmickaz]

This is true here too...and actually relates to the BTA not the RCP my bad but they are all the bloody same, lets me honest...

This is just lifted from Dr Myhills website:

'...There is a further inconsistency in BTS guidelines. The level of thyroid hormones in pregnancy is critical for foetal development. For pregnancy the target for TSH is a level below 2.5mlU/L. Furthermore requirements during pregnancy increase, so thyroid function should be checked every three months. What is the logic of only prescribing thyroid hormones to a non-pregnant woman with a TSH of above 5.0 but if pregnant 2.5....?

[Clutter in reply to kosmickaz]

Because of the dangers of miscarriage and lack of foetal development with higher TSH.

[kosmickaz in reply to Clutter]

Yes, but what about the Mother!! Pregnant or not.

This suggests the foetus is the most important - without giving equality to both.

Nuts!

[Clutter]

No, mother is looked after by the increase in thyroxine as the foetus will otherwise deplete her of her own thyroxine and raiser the risk of post partum thyroiditis.