#480: From Hashimoto’s to Breech: The Surprising Role of Thyroid in Pregnancy

Thyroid health may not be the first thing that comes to mind when you think about pregnancy, but thyroid hormones play an important role in both maternal health and fetal development, especially during those early weeks when baby is relying on mom's thyroid hormones.This week, Blyss and Stu take a deep dive into thyroid disease in pregnancy. Stu breaks down the basics of how the thyroid works, the difference between hypothyroidism and hyperthyroidism, Hashimoto's versus Graves' disease, and what TSH, T3, T4, and thyroid antibodies can actually tell us. They look at the potential pregnancy risks associated with overt thyroid disease, why subclinical disease is a very different conversation, and why pregnancy itself can change thyroid lab values.Together they answer the question, should every pregnant woman have her thyroid screened? And discuss how testing itself can sometimes set off an unnecessary cascade of referrals, surveillance, and intervention.This one gets into the weeds, but it's an episode worth saving as a resource for pregnant families, birth workers, and anyone navigating thyroid disease during the childbearing years.References:Reclaiming Birth Gatheringreclaimingbirthconference.com/ Birth and Birth Psychology Congress in Istanbul, TurkeyInstagram: @birthandbirthpsychologyWebsite: dogumicinelele.org/Birthing Instincts Podcast PatreonPatreon.com/birthinginstinctspodcastOpen Evidence Linkshttps://www.openevidence.com/ask/04b52887-1c7f-423d-aeb4-7d28376e225aThyroid Disease in Pregnancywww.ovid.com/10.1097/AOG.0000000000003893Maternal thyroid function during gestation is related to breech presentation at termhttps://pubmed.ncbi.nlm.nih.gov/19832853/Allowed to Birth Ashland Screeningbirthinginstincts.com/events/allowed-to-birthDiscussed in This EpisodeThyroid 101: TSH, T3, T4 & How It All WorksHashimoto's vs. Graves' DiseaseWhy Thyroid Hormones Matter for Fetal DevelopmentThyroid Disease & Pregnancy Risks: What Do the Numbers Actually Mean?Should Everyone Be Screened During Pregnancy?How Pregnancy Changes Thyroid LabsHypothyroidism: When Pregnancy Symptoms Look Like Thyroid SymptomsSubclinical Hypothyroidism: Does It Need Treatment?What Thyroid Labs Should Actually Be Ordered?Treating Overt Hypothyroidism During PregnancyHyperemesis and Thyroid ChangesPodcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byLMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any orderChristian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 offGirls Who Know | Go to girlswhoknow.com and use  code INSTINCTS for 15% offConnect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @birthinginstincts/@wovenmoon_Website: birthinginstincts.com/birthingblyss.comEmail: [email protected] webpage: birthinginstinctspodcast.comAdvertising Inquiries: https://redcircle.com/brands