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Hyperthyroid-risked out of home birth?

post #1 of 5
Thread Starter 

After speaking to my home birth midwife, she said I might risk out of my planned home birth due to my thyroid issues. I have Grave's disease, and while my thyroid had been stable it has been all over the place this pregnancy, with my endocrinologist continually altering my medication dosage. Now my midwife tells me that unless it can be under control for the rest of my pregnancy I will risk out of a home birth and have to do a hospital birth.

 

So I guess my question for any MWs here, is would you tell a woman she is no longer low risk due to thyroid issues?

post #2 of 5

I'm sorry you haven't gotten a response yet, Steph. How is the hyper-thyroid issue going?  Have you gotten more information from your MW? Do any MW's have some information for Steph?  

post #3 of 5

I am not a midwife, but I'm pretty sure in my state, uncontrolled thyroid disease will risk you out of a birth center birth.  Of course, that's a little different than a regular homebirth, so it may come down to what she's comfortable with.

post #4 of 5
Thread Starter 

Well my levels fluctuate, the last blood test I had in June showed normal levels, I'm still waiting for my current levels.

 

My MW seems to be concerned with the fact that when we reduce my medications I tend to get heart palpitations. Another concern is that the propanalol I'm taking to control these is associated with intrauterine growth resitrction, and I do feel like I'm much smaller this pregnancy than last.

 

With my last DS I had uncontrolled hyperthyroidism, so I had him in a hospital. The only difference between that and a HB was that they monitored my heart and drew my blood constantly.

post #5 of 5
Disclaimer- I am a CNM and only do hospital births, but definitely support homebirth as an option for low risk women, with a qualified attendant.

StephM76, I think your midwife is doing the right thing. If your baby turns out to have complications from your thyroid issues and the medication you're on, you will want a NICU team right there.
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