Am I considered high risk with hashimotos?

[mom61508]

I have hashimotos so does that mean I'm high risk? Right now my antibodies are negative and my thyroid is pretty stable. However I would like to see my tsh a little lower (2.3) right now. I'm not currently taking any meds have been off them for over a year.

The past few days I've been feeling really tired but I'm not sure if it's thyroid or the pregnancy I'm almost 6 weeks. Anyway I'm wanting to have a home birth but I'm wondering If midwives still do a HB If I'm high risk? I also wonder How good midwives are about thyroid issues. Any experiences?

[MaerynPearl]

As long as your thyroid stays stable and you keep having it checked, you should not be high risk.

You would be considered at risk of thyroid problems, but as long as it is being controlled and closely monitored, your pregnancy should be fine.


You would have to ask the midwife specifically. I have thyroid issues and my midwife has no problem with it.

[nia82]

My oldest sister has it and had an uneventful, low-risk pregnancy. She is on meds, but I forget what. Something basic she always takes.

[Amila]

I have it (meaning I tested for elevated antibodies, but had a normal TSH). It was recommended to me to go on 50 mcgs of Levothyroxine since antibodies themselves can increase the risk of miscarriage, and also because your thyroid tends to spin out of control in pregnancy. I am approaching my third tri, and so far my TSH has been ok without having to adjust meds. I am having a homebirth and NOT high risk. HTH

[mom61508]

Thanks mamas My first pregnancy was great! I wasn't technically diagnosed with Hashis yet but who knows I probably had it then. I had a natural childbirth in the hospital. My health tanked when DD was around 4 months but I've been pretty stable since. Hoping my antibodies stay in the negative thru this pregnancy. Wish me luck

[tug]

good luck! i have it too (take the daily levothyroxine), but it had no effect on my pregnancies. i did get it checked out frequently (to make sure it stayed stable), but i had two natural births with no problems.

[AnnieA]

I would suggest that you get your TSH levels checked ASAP. I have Hashimoto's as well and I called my endocrinologist the day after I got my BFP. He immediately increased my Synthroid prescription and I have to get my levels monitored every six weeks now. Pregnancy can do a number on your thyroid and low thyroid levels can cause developmental delays as well as other issues in your baby.

ETA: I wouldn't consider you high-risk but you need to have your thyroid closely monitored during your pregnancy IMO. I interviewed a group of HB midwives and they were fine with having me do a HB even though I have Hashimoto's. They did say that close monitoring of the thyroid levels would be necessary.

[mom61508]

Originally Posted by AnnieA

I would suggest that you get your TSH levels checked ASAP. I have Hashimoto's as well and I called my endocrinologist the day after I got my BFP. He immediately increased my Synthroid prescription and I have to get my levels monitored every six weeks now. Pregnancy can do a number on your thyroid and low thyroid levels can cause developmental delays as well as other issues in your baby.

ETA: I wouldn't consider you high-risk but you need to have your thyroid closely monitored during your pregnancy IMO. I interviewed a group of HB midwives and they were fine with having me do a HB even though I have Hashimoto's. They did say that close monitoring of the thyroid levels would be necessary.

I just had it checked the end of June that's how I know my TSH is at 2.3 and I have negative antibodies. I plan on getting checked again next week as I want to get it checked every 4 weeks.

[mediumcrunch]

If your bloodwork is normal you aren't high risk, heck if your levels were a little wonky but not out of control you still wouldn't/shouldn't be considered high risk. Midwives shouldn't be managing your meds. Ordering periodic TSH's to see if your meds need to be adjusted, yes but if you do need a med adjustment it should be your internist or endo doing the changing.