流産で苦しんだことがありますか?甲状腺が原因の可能性もあります。Have You Suffered a Miscarriage? Your Thyroid Could Be to Blame

流産で苦しんだことがありますか?甲状腺が原因の可能性もあります。Have You Suffered A Miscarriage? Your Thyroid Could Be To Blame

甲状腺検査は、世界中の妊婦において「必須」とすべきです。甲状腺機能低下は流産、死産、不妊、母体の貧血、子癇前症、胎盤剥離、出産後出血、早産、低体重児出産、幼児における知的発達障害等のリスクを増加させますが、これらについての意識は広がっていません。これは、未だに知られていない世界的な健康問題であり、大変なことです。というのも、適切な検査をしていれば、救うことのできた赤ちゃんもいるはずだからです。福島原発事故の大変な影響をかんがみれば、日本および福島からの死の灰に晒された地域におけるすべての妊婦と、妊娠を考えている女性は、甲状腺スクリーニング検査を受けるべきなのです。

Thyroid testing should be MANDATORY for every pregnant woman worldwide. Hypothyroidism increases the risk of miscarriage, still birth, infertility, maternal anemia, pre-eclampsia, placental abruption, postpartum hemorrhage, premature delivery, low birth weight, and deficits in intellectual development in infants, yet the lack of awareness is pervasive. This is an unrecognized global health issue and it is shameful. It is shameful because our unborn babies could be saved with proper testing. Given the devastating effects of the March 2011 Fukushima nuclear disaster, thyroid screening should be mandatory for every pregnant woman and every woman planning to conceive in Japan and areas exposed to the fallout of Fukushima.

竹野内真理さんは、この記事とThyroid Disorders In Almost Half Of Fukushima Childrenを翻訳してくださいました。2011年3月15日、東京で福島から放射能雲が来ていたとき被曝して3か月体調を崩し、ご自身と当時1歳のお子さんにものう胞が見つかっています。http://savekidsjapan.blogspot.jp/2013/01/i-2011315tokyo-march-15-2011.html 真理さんはSave Kids Japanを立ち上げ、「ノーモア原発・ノーモアヒバクシャ」(動画http://www.ustream.tv/recorded/18530453)を訴えています。私の情報を日本のお母さんたちに届けるのを助けてくださった真理さんに感謝を捧げたいと思います。

Mari Takenouchi, a Japanese journalist, translated this article as well as my article Thyroid Disorders In Almost Half Of Fukushima Children. Mari was exposed to radioactive plume in Tokyo on March 15, 2011, with her 1-year-old son and became sick for three months and now both of them have nodules in their thyroid. She founded Save Kids Japan, and advocates no more nuclear and no more radiation exposure (Tokyo press conference video: http://www.ustream.tv/recorded/18530453) Thank you Mari for helping me reach Japanese mothers.

それは2009年初頭、雪の降っていたニューヨーク市のある寒い日のことだった。私は病院の診療台で、人生で最も悲惨な日を迎えていた。12週の胎児が死亡し、子宮内膜掻爬術{しきゅう ないまく そうはじゅつ}が施されようとしていたのだ。技術者が超音波を当て、医療スタッフに私の胎児の心音がないことを告げに部屋を出て行った。私はベッドから飛び起きて、超音波画像のところに駆け寄った。まだ生まれていない私の子供の画像を見つめながら、拳を握り、体が震えていた。「何がわたしの赤ちゃんに起きたの?」

On a cold snowy day in New York City in early 2009, I lay on a medical exam table on what would be one of the worst days of my life. I had miscarried at 12 weeks and was being prepared for a D&C. A technician had just taken an ultrasound and walked out of the room to reconfirm to the medical staff that my fetus had no heartbeat. I sprang off my bed and ran to the image on the screen. I felt my body shake and my fists clench as I stared at the image of my unborn child. What happened to my child?

2006年の長男の出産の翌年、私は甲状腺の働きが不活発となる、甲状腺機能低下症の診断を受けていた。以来、私は雪崩の如く襲ってくる疲労感と日々格闘していた。私は自分を診てくれていた医師たちを絶対的に信頼しており、「医師らが甲状腺機能低下症について知らないこともあるかもしれない」などと疑うこともなく、甲状腺の投薬手順を正確にフォローしていた。

I was diagnosed with hypothyroidism, an underactive thyroid, the year following the birth of my first son in 2006. I struggled day to day with a fatigue that hit me like an avalanche of bricks. I trusted my doctors implicitly and followed their thyroid drug protocol to the letter never once thinking they might not know everything there was to know about hypothyroidism. I trusted them as the experts especially when I became pregnant that second time.

しかしのちに、甲状腺機能低下症について、特に甲状腺機能低下と妊娠について、自分のかかっていたアイビーリーグの教育を受けた一流の医師たちが十分に知識を持っていないことを知ることになる。彼らの治療では、甲状腺機能を測る判断基準であるTSH(甲状腺刺激ホルモン)の値は、実験室での基準値よりもずっと上回り、私の赤ちゃんの生命を脅かしていたのである。

I would later learn that my Ivy League medical school trained and top awarded doctors did not know enough about hypothyroidism, especially the dangers of hypothyroidism and pregnancy. Under their care my TSH (thyroid stimulating hormone), the gold standard for measuring thyroid function, reached levels far above the lab reference range and endangered my baby’s life.

流産の一因となるものー甲状腺機能低下症と妊娠

What Can Cause A Miscarriage – Hypothyroidism And Pregnancy

2012年6月、テキサス州ヒューストンで行われた第94回内分泌学会で、すべての妊婦が妊娠初期の3か月以内に甲状腺スクリーニングを受けるべきであるという勧告が発表された。この研究はインドのパンジャブ地方のルディアナという町で1000人の妊婦を対象に行われた。この研究論文の主筆であるJubbin Jagan Jacob医学博士は以下のように記している1。1

A study presented June 2012 at The Endocrine Society’s 94th Annual Meeting in Houston recommended that all pregnant women should undergo thyroid screening in the first trimester of pregnancy. The study was conducted on 1,000 pregnant women in their first trimester in Ludhiana in Punjab, India. According to the study’s lead author Jubbin Jagan Jacob, M.D.:1

「研究によれば、軽い甲状腺機能障害であっても、重篤なリスクを増加させる。軽微な甲状腺機能障害が、流産、早産、低体重児出産のリスクを、正常な甲状腺機能を持っている女性に比べ、2倍にする。また、死産のリスクも7倍にする。」

“The study found that even mild thyroid dysfunction could greatly increase the risk of serious problems. Women with mild thyroid dysfunction had double the risk of miscarriage, premature labor or low birth weight as compared to pregnant women with normal thyroid function. They also had seven times greater risk of still birth.”

またJournal of Medical Screening誌においても、9400人もの妊婦における研究において、甲状腺機能低下の妊婦が3か月から6か月の間に、通常の甲状腺機能を持つ妊婦に比べ、流産の危険性が4倍に達することを発表している。2

In the Journal of Medical Screening, researchers in a large study of 9,400 pregnant women demonstrated that pregnant women with hypothyroidism had a second trimester miscarriage risk four times the risk of women who were not hypothyroid.2

2008年のIndian Journal of Medical Sciences誌では、甲状腺機能低下症は、妊娠初期3か月中の繰り返し流産との関係において統計的に優位であることがわかっている。研究者によれば、3

According to a 2008 study in the Indian Journal of Medical Sciences, hypothyroidism has a statistically significant relationship with recurrent pregnancy loss in the first trimester. According to researchers:3

「甲状腺ホルモンは成長中の胎児の成長と代謝において不可欠なものである。妊娠初期では、母親は甲状腺ホルモンを胎児に供給する。仮に母親が甲状腺機能低下を伴っていたら、胎児に十分な甲状腺ホルモンを供給できない。よって甲状腺機能低下は、流産のリスクファクターである。」

“Thyroid hormones are essential for the growth and metabolism of the growing fetus. Early in pregnancy the mother supplies her fetus with thyroid hormones. If the mother is hypothyroid, she cannot supply her fetus with enough thyroid hormones. Hence hypothyroidism is a risk factor for pregnancy loss.”

なぜ私は自分のかかりつけの医師たちを、まったく疑わずに信じたのだろう?

医師たちは私に、甲状腺機能低下と流産には何の関係もないと太鼓判を押した。が、私の直感は医師たちが間違っていると告げていた。

So why had I trusted my doctors unquestioningly?

My doctors tried to assure me there was no link between hypothyroidism and miscarriage, but my instincts told me they were wrong.

その運命の日、医療スタッフが子宮内膜掻爬術を準備している間、私は自分自身に誓った。私は自分の出来うる限りの力で甲状腺機能低下症について知るべきことを調べ上げ、今後は自分自身の健康をコントロールする、と。私はもう二度と、自分の医師たちに疑問を呈することなく信じることを止める、と。

As the medical staff prepared me for my D&C that fateful day, I vowed that I would do everything in my power to research everything there was to know about hypothyroidism and take control of my health. I would never trust my doctors unquestioningly ever again.

竹野内真理さんには、私の5部作のお話The Dangers of Hypothyroidism And Pregnancyを訳してSave Kids Japanに掲載していただいてありがとうございました。私は、世界中の妊婦が甲状腺スクリーニング検査を受けられるまで、生きている限り闘い続けるつもりです。それが実現するまで休みたいとも思いません。私のHypothyroid Momは、私の甲状腺機能低下で失った赤ちゃんと、運良くもこの世に送り出されてくれた私の二人の息子に捧げます。私はやるべき使命を負っているのです。

Thank you Mari Takenouchi for translating all 5 parts of my series The Dangers of Hypothyroidism And Pregnancy on Save Kids Japan to help me reach Japanese mothers. I will fight until my very last breath to ensure universal thyroid screening for pregnant women worldwide. I will not rest until this happens. My blog Hypothyroid Mom is written in memory of the baby I lost to hypothyroidism and in dedication to my two boys who beat the odds and made it to the world. I am a woman on a mission. 

“続きを読む”

Read more.

Part 2 “What Every Pregnant Woman Needs to Know About Hypothyroidism甲状腺機能低下について妊婦が知るべきこと“

Part 3 “Miscarriage in New York City…Be Thyroid Awareニューヨーク市での流産・・・甲状腺に注意”

Part 4 “Hashimoto’s Disease: The Danger of Thyroid Antibodies and Pregnancy橋本病:甲状腺抗体と妊娠における危険性”

Part 5 “Hypothyroid Mom’s Story of Hope: Her Miracle Babies甲状腺機能低下ママと希望の物語:奇跡の赤ちゃんたち”

References:

  1. Endocrine Society (2012, June 23). Mild thyroid dysfunction in early pregnancy linked to serious complications. Newswise. Retrieved July 3, 2012 from http://www.newswise.com/articles/mild-thyroid-dysfunction-in-early-pregnancy-linked-to-serious-complications
  2. Allan, W.C., J.E. Haddow, G.E. Palomaki, J.R. Williams, M.L. Mitchell, R.J. Hermos, J.D. Faix, R.Z. Klein. Maternal thyroid deficiency and pregnancy complications: implications for population screening. J Med Screen 2000; 7:127-130
  3. Rao VR, Lakshmi A, Sadhnani MD. Prevalence of hypothyroidism in recurrent pregnancy loss in first trimester. Indian J Med Sci 2008;62:357-61
About Dana Trentini

Who knew that little butterfly-shaped thyroid gland at the base of my neck could affect my life so completely? I founded Hypothyroid Mom LLC in memory of the unborn baby I lost to hypothyroidism. Winner of two 2014 WEGO Health Activist Awards: Health Activist Hero & Best In Show Twitter. Connect with me on Google+

Comments

  1. I wonder if you can provide me with any info in relation to thyroiditis, hypothydroisim and anything else that may be relevant to me having only half a thyroid gland (literally one sided). ME sufferer, low cortisol, sudden early menopause and alot of other stuff which I wonder is also related to my thyroid stuff.
    It is hard to find out about my scenario.
    Appreciate hearing from you or anyone on this.

    • Dana Trentini says:

      Hi TJ,

      I am happy to hear from you. There are so many things to say. First, ME is thought to be an autoimmune condition. When you have one autoimmune condition such as CFS or ME then you are more likely to develop others such as Hashimoto’s or Graves, autoimmune thyroid conditions. First off, it is important to have your thyroid antibodies for Hashimoto’s (TPO-Ab and TgAb) and antibodies for Graves (TSI) tested.

      http://hypothyroidmom.com/hypo-like-a-rock-star-hashimotos/

      You mention low cortisol levels and this is very important. Adrenal and thyroid health are strongly connected. Low cortisol levels can disrupt thyroid health and also make it challenging to feel well on thyroid medication. What has your doctor suggested to treat your low cortisol. This needs to be looked at more closely.

      http://www.stopthethyroidmadness.com/adrenal-info/

      Best wishes to you. Welcome to Hypothyroid Mom!

  2. I support thyroid testing for all pregnant women in Japan and for all children in Japan. Is there a link to make a donation to this cause? I am a concerned American citizen. The Japanese have been our close friends for so long. So terrible that they should need to live in fear. I would like to find any way I can to help. Thank you for this interesting post.

    • Dana Trentini says:

      Hi Peter, that is a very kind comment. I am very concerned too about the Japanese children. Recently the Japanese people requested evacuation of the Fukushima children and that request has been denied. There are currently children living in Fukushima. I will look into organizations for you that are helping the Fukushima children. That is a wonderful idea.

  3. Dana,
    When I read your post I could relate so much about lying on the stretcher awaiting a D&C with my first miscarriage. It was almost an out-of-body experience like I couldn’t believe this was happening to me. I wasn’t diagnosed with hypothyroidism at the time but I did learn I was severely estrogen dominant which is also tied to thyroid problems. Later I was diagnosed with both progesterone deficiency and then hypothyroidism. I had long thought that the lack of progesterone was the only culprit in my miscarriages because I learned of it first and progesterone supplementation solved my miscarriages. It’s only been in the past few years that I’ve wondered how much hypothyroidism may have played a part in my miscarriages. I’ll never know, but like you never want another woman to go through a preventable miscarriage again! Thanks for your advocacy! {{hugs}}

    • Dana Trentini says:

      Sonya, I worry that there are many more babies lost to hypothyroid women than anyone realizes. It is a tragedy to me and I need to find a way to make it end. I love your blog Hormone Soup. I am happy to know you Sonya.

  4. Michele Lg says:

    Thanks a lot Dana Trentini, it’s such a relieve to understand what’s wrong with me. We’ve been trying to get pregnant for a year now, I had a miscarriage in February after 8 months of actively trying which cause me more pain and sadness. At first, the physician was not overwhelmed with that; “it’s only 1 miscarriage you know…”…. Well… it seems that my TSH is 3,3 and for her, it’s perfectly fine since it’s not the critical 4,5 stated in many medical literature. However, what I found on several new released medical reviews is that for a woman to get and maintain pregnant, you must be between ideally 1 and 2…. Well, guess what; I had to argue with my endo in order to get the Synthroid I really think I need. She replied: “Well ok, I mean, since you want to get pregnant”…. I was almost out of control… I was seeking help at a private fertility clinic, what do you think? Of course it’s what I’m looking for, and if there’s a slightly chance it’s disabling me to get pregnant, or to suffer of miscarriage (which my mother had twice before me and that I just experienced), or to get pre-eclampsia (which my mother had during her pregnancy of me), or to get a placenta abruption (which my mother had for my sister… at 26 weeks pregnancy, thank god she’s alive but really premature)….I want to give it a try in lowing this TSH!

    You know when you’re thinking that all physicians are able to figure this out, thinking out of the box, getting a bigger picture… I find it really awkward that, I, as a patient, need to overlook diagnosis to insure my health… And, of course, I find it really nice of you to point out the illness in this blog. Now I don’t feel stupid or crazy or alone in the universe. I know now, there’s a reason (even if the endo stated me that she doubts it will change anything… I was “yeah yeah right”).

    Thanks again and god bless you,

    Michèle from Québec, Canada

    • Dana Trentini says:

      Hi Michele,

      I am sorry for the loss of your baby. I am so happy you have taken charge of your health and that you are learning all you can about the impact of hypothyroidism on pregnancy. I applaud you. There is hope to have beautiful healthy babies but you must be as thyroid healthy as possible prior to conceiving. The American Thyroid Association issued pregnancy guidelines in 2011 recommending a TSH of less than 2.5 for women trying to conceive and in the first trimester of pregnancy. Here is a post of things to consider. Also, given your mother’s challenges with miscarriage, pre-eclampsia, and placenta abruption she should also have her thyroid checked. TSH alone is not enough to give a full picture of thyroid health. I’ve also attached an article that emphasizes testing for Free T4, Free T3, Reverse T3 and thyroid antibodies in addition to TSH. Best wishes to you!

      http://hypothyroidmom.com/hypothyroid-moms-story-of-hope-her-miracle-babies/

      http://hypothyroidmom.com/top-5-reasons-doctors-fail-to-diagnose-hypothyroidism/

      I was born and raised in Toronto before moving to the US. I speak French. Bienvenue à Hypothyroid Mom!

  5. Dana, you’re amazing. I noticed this page in the sidebar while I was making a comment on another page of yours involving mental illness and thyroid.
    I had eight miscarriages trying to have my babies. (Happily, I have 2 beautiful children now). My doctor couldn’t come up with an explanation as to why this was happening. He even had me bring in the miscarried babies after 4 miscarriages to send to the lab to try and come up with some reason as to WHY? There was none.
    With my oldest child, I miscarried her twin. She remained an only child for 8 years. With my youngest, the bleeding began a mere week away from the second trimester and because of my “advanced age” I knew time was closing in. The docs did nothing for me at the hospital. The registration nurse who knew my history at our interview when I arrived at hospital asked me if they had helped inside the ER and I told her they did nothing but tell me that right now, I was still pregnant and there was a heartbeat. She looked completely disappointed and immediately produced a letter to have me on bed rest for the duration. She didn’t want me to lose this baby as she knew it would likely be my last attempt. I did what she ordered and my obgyn when he tested me for anemia and we found out that I am. I delivered 2 of the healthiest babies but the road to get there was a miserable one. Of course, I am saddened by all of the babies I lost but am so incredibly grateful for the two I did manage to carry to term. Thank you for this page…wanting to know why this happens is all too often like a plague in the back of your mind. Perhaps you’ve just ended my ‘plague’. Thank you so much.

  6. Dana Trentini says:

    どうもありがとうございました。Thank you very much to Nuclear News for including Hypothyroid Mom and helping to spread awareness about thyroid disease to the Japanese people. Given the devastating effects of Fukushima, the people of Japan should be aware of the symptoms of thyroid disease to protect their children.

Trackbacks

  1. […] http://fukushimaappeal.blogspot.co.uk/2013/11/fukushima-unborn-babies-at-time-of.html 福島で急増する甲状腺がん、原発事故当時の胎児も検査対象に Fukushima Unborn Babies (at the time of the nuclear accident) are going to finally have Thyroid examinations.  Image source: You Suffered a Miscarriage? Your Thyroid Could Be to Blame […]

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