[nfinner]

#1059909

I am currently 29 weeks pregnant and had RAI in spring of 2008. We checked TSI back around 12 weeks into the pregnancy and we were ok. Just wondering from mom’s (or Dad’s) who’ve been through this if there is anything to expect that may be different as we get near the end of this pregnancy. My son was born prior to my Graves so not sure if there is anything I should expect due to the GD or being Hypo (well treated) now. Thanks

[Kimberly]

#1178698

Hello – Hopefully, you will get some other responses here from women who have gone through a pregnancy post-RAI.

The latest medical guidance recommends testing TRAb at the 20-24 week mark, so you might ask your doctor to run this test, just to double-check that everything is OK. (The TRAb antibody test is a little different from the TSI test, so it’s worth asking about).

Wishing you all the best!

[Stymie]

#1178699

Hi!!

Just wondering what the difference is between the TSI test and TRAB test?

[Kimberly]

#1178700

Hello – TSI is specific to the antibodies that stimulate thyroid hormone production. The TRAB test picks up both blocking and stimulating antibodies. (Although stimulation is the more common scenario in Graves’, blocking can occur as well). The medical guidance recommends TRAb for women who are in their 20-24th week of pregnancy and for patients prior to withdrawal of anti-thyroid drug therapy.

Hope this helps!

[LaurelM]

#1178701

Hi!

Congratulations on your soon to be bundle of joy!

For you, be sure that you are having your tyroid levels tested postpartum. Your body may require a post birth adjustment in your replacement hormone. You will want to make sure you are operating as optimally as possible with a new baby and another child at home. Too much or too little hormone can affect your milk supplies as well.

For both your kids, be sure that their pediatritian or family doc have noted your history in their records.

For the new baby in particular, they should perform a TSH (usually part of the standard newborn screening via heal stick) before you leave the hospital. A second screening is usually (at least in my state – it may vary) 7 to 14 days after birth. The baby’s Dr. should examine the baby closely for the next 3ish month just to be sure that no signs of Neonatal Graves crop up. This would be a very, very, very rare possibility though so don’t stress about it. You have the benefit of already having been a parent so just trust your intuition as you will know your child best if you think anything seems out of oridinary.

Congrats again!
Laurel

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