However, a small percentage remain hypothyroid, and many more are at risk of developing thyroid disease later in life. Some women with post-partum thyroiditis report milk supply problems, others breastfeed without difficulty. Thyroid cancer. Thyroid cancer carries risks to the breastfeeding mother and her baby in both diagnosis and treatment, as both require the use of radioactive drugs including radioactive iodine which preclude breastfeeding.
Thyroid disease medication and breastfeeding. Women who have thyroid disease prior to becoming pregnant need to have their thyroid levels checked often throughout pregnancy and while breastfeeding.
It is often necessary to adjust medication doses to maintain normal thyroid hormone levels. Few medications are contraindicated when breastfeeding.
Many breastfeeding mothers with thyroid disease take medications to treat it and safely continue to breastfeed. For accurate and up-to-date information about the use of medications and breastfeeding, contact one of the telephone numbers listed on the website article Breastfeeding and prescription medications.
Speller, E. The information on this website does not replace advice from your health care providers. Breastfeeding and thyroid disease The thyroid gland The main function of the thyroid gland is to make thyroxine T4 and triiodothyronine T3 hormones.
Thyroid disease Thyroid diseases include hypothyroidism under-active thyroid , hyperthyroidism over-active thyroid , and thyroid cancer. Hypothyroidism Symptoms of hypothyroidism include: fatigue weight gain intolerance to cold low mood heavy and prolonged menstrual flow absence of a menstrual period in a woman of reproductive age constipation dry scaly skin hair loss. Plea se make a gift here! Breastfeeding and Thyroidism. Home Breastfeeding Info Breastfeeding and Thyroidism.
Thyroid hormone replacement is a common form of treatment especially during pregnancy and breastfeeding. In pregnancy, this can result in pregnancy-induced hypertension and low birth weight. Mothers with hypothyroidism are at risk for delayed or insufficient milk production. Studies also indicate there may be a negative effect on oxytocin. Some mothers with hyperthyroidism may notice an easing of symptoms in the second and third trimesters, but symptoms can rebound after delivery.
Mothers with hyperthyroidism are at risk for premature delivery, pre-eclampsia, fetal growth restriction and increased mortality for mother and baby. Studies also indicate there may be negative impact on prolactin and oxytocin concentrations.
Treatments: Studies have indicated that propylthiouracil PTU is the drug of choice for a breastfeeding mother in this instance. Methimazole is an accepted option, baby should be monitored frequently. Women with diabetes mellitus type 1 are at three times the risk. Women who smoke are at three times the risk. Symptoms — intolerance to cold, dry skin, lack of energy, impaired concentration, aches and pains. Typically starts with aspects of hyperthyroidism that can last up to several weeks and the transition to hypothyroidism, which can last for several months.
This state is more obvious clinically, leading to treatment. Impact on Breastfeeding Thyroid issues often cause difficulty with milk supply and with milk removal. Suggested management to support breastfeeding Regular follow-up with physician, regular screening for hypothyroidism in first year.
Important to work on improving milk removal. Massaging breast — massage from outer reaches of the breast toward the nipple may make more milk available. Breast compressions during feedings — mechanically increasing internal pressures may help propel milk from the breast.
Galactagogues — effective only if milk can be removed and thyroid levels are in balance, then can be useful as supportive treatment. Carbimazole and breastfeeding. This website uses cookies to improve your experience but you can opt-out if you wish.
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