I AM PREGNANT AND YOU HAVE ADJUSTED THE DOSE OF MY THYROID HORMONE ON A REGULAR BASIS THROUGHOUT MY PREGNANCY AND YOU HAVE KEPT MY THYROID TESTS IN AN EXCELLENT RANGE. AFTER I DELIVER, AM I SUPPOSED TO BE MONITORED CLOSELY? WILL THE DOSE OF MY THYROID MEDICATION NEED TO BE CHANGED?
Yes. After delivery, you need to be monitored. Most people who have had an increase in the dose of thyroid medication when they are pregnant may need an adjustment of their thyroid treatment immediately after delivery. It is probably safe to have your dose reduced slightly so you will not have too much thyroid hormone in your system after you have the baby. I like to see my patients around 2-2 1/5 months after delivery for adjustment. Also, you may have Hashimoto Thyroiditis as the reason for your hypothyroidism-Remember; many patients with Hashimoto Thyroiditis can have a super-imposed post-partum thyroiditis which is a destructive type of inflammation of the thyroid gland. Post-partum thyroiditis causes excessive release of thyroid hormone from the gland which results in too much thyroid hormone in their bodies.