What is the reason for Hashimoto's hypothyroidism at 24 weeks of pregnancy?

Patient's question:

At 24 weeks pregnant, I have Hashimoto's hypothyroidism. My TSH levels were 4.2 and 3.16 twice during pregnancy, while many other readings were below 2.5. The first four months, I was checked every two weeks, now it's every half month. Other values have been well-controlled. Below are the results of these three recent checks. Will the child have hypothyroidism at birth? How can I breastfeed?

Doctor's answer:

If there is hypothyroidism during pregnancy, it will interfere with the baby's brain development and growth, and thyroid function must be closely monitored. After the baby is born, a heel blood sample will be taken three days later to determine if the baby has congenital hypothyroidism. Currently, it cannot be confirmed how the baby may have hypothyroidism. Regarding breastfeeding, it should not cause significant interference, and it is recommended to consult an endocrinology doctor. Wishing the patient a speedy recovery, a healthy body, and a wonderful life.

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