What are the two main thyroid hormones?
Thyroxine (T4)
Tri-iodothyronine (T3)
What do thyroid hormones do?
regulate carbohydrate, lipid and protein metabolism, essential for normal growth and development of fetus
What are the symptoms of hypothyroidism?
- periorbital puffiness
- hair loss
- low mood
- lack of energy
- feeling cold
- weight gain
- muscle pain
What are the symptoms of hyperthyroidism?
- goitre
- diarrhoea
- weight loss
- tachycardia and palpitations
- heat intolerace
- bulging eyes
- tremors
What is another name for hyperthyroidism?
Grave’s disease
What is the management hypothyroidism?
- monitor blood levels
- thyroxine
What is the midwife’s responsibility in terms of consultation and referral if a woman presents at commencement of care with stable treated hypothyroidism?
A discuss
What is the midwife’s responsibility in terms of consultation and referral if a woman presents at commencement of care or in pregnancy with a new diagnosis of hypothyroidism?
B consult
What is the midwife’s responsibility in terms of consultation and referral if a woman presents at commencement of care with hyperthyroidism or develops it during pregnancy ?
B consult
Of hypothyroidism and hyperthyroidism which is more common?
hypothyroidism
What are the most common causes of hypothyroidism?
- autoimmune disease (Hashimoto’s)
- radiotherapy
- surgical
- lack of dietary iodine
- congenital
- pituitary gland or hypothalamic dysfunction
What is thyroid storm?
life threatening complication of hyperthyroidism characteristed by fever, irregular heart beat, vomiting, diarrhoea and agitation
What is hypothyroidism?
underactive thyroid gland
what is hyperthyroidism?
overactive thyroid gland
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Vaginal Examination6
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The maternal pelvis, the fetal skull, mechanisms of normal labour and malpositions40
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Pharmacology in midwifery106
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Malpresentations16
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Hypertensive disorders in pregnancy70
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Bleeding in pregnancy47
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Australian midwifery practice10
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Diabetes in pregnancy25
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Thyroid diseases in pregnancy14
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Cardiac issues in pregnancy7
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Renal disease in pregnancy2
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Trauma, uterine inversion & uterine rupture18
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DVT, pulmonary embolus & amniotic fluid embolism12
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Obstetric cholestasis8
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Asthma in pregnancy10
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Threatened preterm labour5
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Antihypertensive therapy in pregnancy9
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Epilepsy in pregnancy0
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Antidepressants in pregnancy0
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Antibiotics in pregnancy0
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Contraceptives47
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Postpartum Haemmorhage62
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Vaccines in the perinatal period1
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Drugs to stimulate or suppress breastmilk supply22
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Drug use in the neonate42
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Perinatal mental health97
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Revision for Postnatal Placement46
