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The deleterious effects of thyroid dysfunction can also extend beyond pregnancy and delivery to affect neurointellectual development in the early life of the child. Due to an increase in thyroxine binding globulin, an increase in placental type 3 deioidinase and the placental transfer of maternal thyroxine to the fetus, the demand for thyroid ...
The increase in kidney clearance during pregnancy causes more iodide to be excreted and causes relative iodine deficiency and as a result an increase in thyroid size. Estrogen-stimulated increase in thyroid-binding globulin (TBG) leads to an increase in total thyroxine (T4), but free thyroxine (T4) and triiodothyronine (T3) remain normal. [5]
The thyroid may enlarge slightly in healthy women during pregnancy, but not enough to be felt. These changes do not affect the pregnancy or unborn baby. Yet, untreated thyroid problems can threaten pregnancy and the growing baby. Symptoms of normal pregnancy, like fatigue, can make it easy to overlook thyroid problems in pregnancy. [1]
The fetus is able to produce its own thyroid hormones from the onset of the second trimester; however, maternal thyroid hormones are important for brain development before and after the baby is able to synthesize the hormones while still in the uterus. [7] Due to this, the baby may experience an increased risk of neurological or psychiatric ...
[1]: 25 Prenatal factors that affect or interfere with the interaction of these hormones on the developing brain can influence later sex-typed behavior in children. [ 1 ] : 24 This hypothesis is originated from experimental studies in non-human mammals, yet the argument that similar effects can be seen in human neurobehavioral development is a ...
At 20 weeks, the fetus is able to implement feedback mechanisms for the production of thyroid hormones. During fetal development, T 4 is the major thyroid hormone being produced while triiodothyronine (T 3) and its inactive derivative, reverse T 3, are not detected until the third trimester. [2]
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The gland is usually larger in women than in men, and increases in size during pregnancy. [4] [5] The thyroid is near the front of the neck, lying against and around the front of the larynx and trachea. [4] The thyroid cartilage and cricoid cartilage lie just above the gland, below the Adam's apple.