Should thyroid antibodies be routinely tested for in pregnancy?
Which postpartum thyroid condition can be deadly?
What are the safe ways to ensure adequate iodine during pregnancy? Is routine iodine supplementation safe?
If you thought you knew about thyroid but are struggling with the answers to those questions, this course is for you!
Discuss the role of thyroid hormones in the body
Explain the role of maternal thyroid in fetal development (low maternal thyroid leads to irreversible cognitive development deficits and increases risk of neurodevelopmental disorders)
Explain the interplay between thyroid and stress (the H-P-T axis is stress sensitive and may be involved in stress regulation systems in the brain)
Explain the hormonal sequence leading to the production of thyroid hormones
Define TRH, TSH, T4, T3, TBG
Describe normal range lab values for TSH, T4 in a non-pregnant woman
Explain the impact of estrogen and of hCG on thyroid production
Discuss how pregnancy changes TSH and T4 values
Define hypothyroidism and subclinical hypothyroidism
Differentiate subclinical hypothyroidism from clinical hypothyroidism
Differentiate “primary” from “secondary” hypothyroidism
Define Hashimoto's Disease including cause
Describe how Hashimoto's Disease is diagnosed, including labs
Explain treatment of Hashimoto's Disease and how it differs from other hypothyroid treatments
List signs, symptoms, and diagnostic criteria for subclinical hypothyroidism and for hypothyroidism
Explain treatment of hypothyroidism
Describe how low thyroid impacts pregnancy outcomes
Define Graves Disease
Explain etiology and risk factors for hyperthyroidism
List signs, symptoms, and diagnostic criteria for hyperthyroidism
Explain treatment of high thyroid levels
Describe impact of hyperthyroidism on pregnancy outcomes
Explain postpartum hyperthyroidism and describe its course and treatment. (pp thyroiditis)
Define Sheehan's Syndrome, including its cause (pp pituitary necrosis due to severe pp hemorrhage) and prognosis (permanent and increasing destruction of gland)
List four clinical consequences of Sheehan's Syndrome
List four potential complications of Sheehan's Syndrome
Approved by MEAC for 4 hours of continuing education.
Approved by OBNM for 4 hours of continuing education (OB or general). Approval #17-491.
Holly Scholles, MA, CPM, LDM, is the founder and president of Birthingway College of Midwifery, and a homebirth midwife with 40 years of experience.