Thyroidectomy pregnancy complications. The management of reproductive health among patients with rheumatic and musculoskeletal diseases (RMDs Jul 1, 2025 · Pregnant women with Graves' disease (GD) who have undergone thyroidectomy or radioactive iodine therapy can have high levels of thyroid-stimulating hormone (TSH) receptor antibodies, which are transferred to the fetus via the placenta, posing a risk for fetal GD. Care requires coordination among several healthcare professionals. Subtotal thyroidectomy in pregnancy is an effective alternative in controlling the disease; nowadays indications for surgical treatment are few: allergy to both antithyroid drugs65, very large goiters, patients requiring large doses of ATD, patient preference, and the exceptional case of resistance to drug therapy. 0 became effective on October 1, 2025. While thyroidectomy during pregnancy carries risks, studies have shown that when performed by experienced surgeons, the procedure can be safe both for the mother and the developing fetus. Apr 30, 2024 · Learn about thyroidectomy nursing care plans and nursing diagnosis, including what it entails, key considerations for nursing care, and frequently asked questions about the process. The stresses encountered during the perioperative period may exacerbate underlying Aug 15, 2023 · During a total thyroidectomy, the surgeon removes the complete thyroid gland. However, secondary surgery has a greater risk of complications due to the formation of scar tissue as well as increased fragility of the tissues following the previous Mar 6, 2021 · Although thyroidectomy can be performed during pregnancy for malignancy, many authors cite postponing surgery until after delivery if possible, secondary to risks to the fetus from the anesthesia. This topic reviews the perioperative anesthetic management of patients with thyroid disease and anesthetic management of patients who undergo thyroid or parathyroid surgery. Nov 11, 2022 · A search was performed using the following key words with synonyms: pregnancy outcomes, pregnancy complications, and rheumatoid arthritis, combined with the following search terms: premature labor, low birth weight, and abortion, etc. The 2026 edition of ICD-10-CM E89. Considering thyroidectomy for hyperthyroidism? Learn about the procedure, risks, recovery, and benefits of thyroid surgery for managing Graves’ disease and goiters. As Aug 12, 2021 · Purpose: Conventional thyroidectomy has been standard of care for surgical thyroid nodules. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Sep 15, 2025 · INTRODUCTION Thyroid disease and thyroid surgery present specific challenges for anesthesiologists. But as with any surgery, thyroidectomy carries a risk of complications. Learn about partial thyroidectomy for hyperthyroidism, its benefits, risks, and recovery process. High risk of miscarriage. Infertility is especially a problem if you’re dealing with hypothyroidism post-surgery. Managing pregnant or nursing women with hypoparathyroidism is challenging due to complications arising from either under- or overtreatment, including premature delivery or fetal death … Seven babies have been born then among eight of those patients. We report the case of a 39-year-old nulliparous woman with a body mass index of 47 kg/m (2) and a large multinodular goitre causing tracheal compression with airway symptoms who declined thyroid surgery until after delivery. It can save lives, but it can also cause lasting issues. These codes are critical for accurately documenting complications such as hypothyroidism, hypoinsulinemia, and other hormonal imbalances that may occur postoperatively. Surgical thyroidectomy of patients with Graves' hyperthyroidism does not lead to immediate remission of the autoimmune abnormality, and the combination thyroidectomy+withdrawal of antithyroid medication+L-T (4) replacement of the mother involves a high risk of foetal hyperthyroidism. May 21, 2025 · Maternal and fetal complications Risks to the birth parents Multiple problems can arise that directly affect the birth parent from thyrotoxicosis in pregnancy. Most cases of … Due to the manifold effects of thyroid hormone across virtually all organ systems, the complications associated with thyroid dysfunction are numerous and diverse. Levothyroxine is the indicated treatment for hypothyroidism, and thionamides Pregnancy within 6 months after treatment did not have higher risks of abortion or birth defects in the surgery group. hemithyroidectomy), and the occurrence of major complications (vocal cord paralysis, hypoparathyroidism). It is important to correctly identify these disorders and treat them appropriately to prevent pregnancy-related complications. 1 day ago · Whether surgical removal of the thyroid (thyroidectomy) affects pregnancy How radioactive iodine therapy might delay or complicate fertility plans Possible hormone fluctuations that could interfere with conceiving The emotional toll of navigating cancer while also thinking about parenthood Methods: We searched the English-language litera-ture for studies published between 1929 and 2009 related to management of hyperthyroidism in pregnancy. For cosmetic purposes different minimally invasive and remote-access surgical approaches have been developed. Keywords: Oct 21, 2019 · ImportanceCurrent guidelines recommend that women delay pregnancy for 6 to 12 months after the receipt of radioactive iodine treatment (RAIT) following thyroidectomy for differentiated thyroid carcinoma. The comprehensive evaluation of thyroid nodules during pregnancy includes a medical history, physical examination, ultrasound assessment, and (when indicated) an ultrasound-guided fine-needle aspiration … Feb 9, 2024 · The risk of complications such as bleeding, infection, or injury to nearby structures can be minimized by choosing an experienced surgeon and a well-equipped facility. This meta-analysis of 22 articles investigated whether thyroidectomy or radioactive iodine treatment (RAIT) in patients with differentiated thyroid cancer was associated with an increase in adverse pregnancy outcomes, such as miscarriage, preterm Jul 1, 2020 · Hypoparathyroidism during pregnancy is a very rare endocrine disorder. It is usually caused by Graves' disease. Goiters that are large enough to cause shortness of breath, may disorders maternal uncommon deficiency and fetal in women is complications. Common Reasons for Thyroid Removal Doctors often However, thyroid cancer detected during pregnancy may cause anxiety about the optimal timing of recommended treatments and about both maternal and neonatal morbidity, as weel as pregnancy following a diagnosis of thyroid cancer obviously needs both maternal and foetal management. Regular monitoring will help prevent complications associated with both underactive and overactive thyroid conditions during pregnancy, ensuring both maternal and fetal health. Jul 17, 2025 · Whether surgical removal of the thyroid (thyroidectomy) affects pregnancy How radioactive iodine therapy might delay or complicate fertility plans Possible hormone fluctuations that could interfere with conceiving The emotional toll of navigating cancer while also thinking about parenthood Total or near-total thyroidectomy is the standard treatment for thyroid cancer, but surgery during pregnancy must balance maternal and fetal outcomes. Learn when you need one and what to expect. Hyperthyroidism is second to diabetes mellitus as the most common endocrinopathy in pregnancy. Indications for surgery during pregnancy include aggressive cancers or airway compromise. Pregnancy can exacerbate endocrinopathies and obscure their diagnosis in patients with parathyroid or thyroid disease. Get expert insights on thyroid removal surgery. At the time of diagnosis, the mean age of pregnant women was 35 years (minimum 31 years and maximum 39 years). ICD 10 code for Endocrine, nutritional and metabolic diseases complicating pregnancy, unspecified trimester. The use of beta-blockers is controversial. Oct 29, 2021 · In summary, after thyroidectomy for thyroid cancer, a sufficient dose of thyroxine supplementation in early pregnancy is significantly associated with reduced birth weight and may need to be monitored. However, the absolute risks of maternal death and stillbirth remain low; most pregnancy-related complications can be corrected with proper care by a multi-disciplinary team. Jan 19, 2025 · This activity focuses on the physiology and management of hyperthyroidism, hypothyroidism, and thyroid nodules in pregnancy. Jan 28, 2024 · After the procedure, the mother will be closely monitored for any complications or changes in thyroid hormone levels. This is the American ICD-10-CM version of E89. Keywords: Mar 12, 2024 · Total thyroidectomy can have potential impacts on future pregnancy including parathyroid damage. Open communication with your doctor during this time is essential, as pregnancy requires frequent adjustments and additional testing to monitor hormone levels. A cluster analysis was performed to detect possible patient groups at higher risk for post-operative complications. Additionally, women with active Graves’ disease during Mar 18, 2014 · Currently, you would report 646. Learn about completion thyroidectomy for hyperthyroidism, its benefits, risks, and recovery process. Because of the critical Hashimoto’s dysphagia, cause worldwide. Patients were divided based on key variables, including sex, type of surgery (total thyroidectomy vs. May 26, 2025 · High thyroid-stimulating hormone receptor antibodies (TSHRAbs) during pregnancy pose clinical challenges, especially for women with a history of thyroidectomy or radioactive iodine therapy. May 25, 2023 · Thyroidectomy: All you want to know about the definition , preparation , types of Thyroidectomies, possible side effects and complications. Aug 13, 2025 · Graves’ disease may present initially during the first trimester or may be exacerbated during this time in a woman known to have the disorder. Congestive heart failure. In both radioactive iodine therapy and surgery groups, there was a higher risk of premature birth if a woman became pregnant more than 24 months after treatment. Thyroid surgery during pregnancy is verified to be secure though it is linked with enlarged fatal loss in more widely surgery such as neck dissection. Abstract Airway obstruction in pregnancy is rare. When the entire thyroid is removed it is termed a total thyroidectomy. Jul 21, 2023 · Abstract goiter. As such, people have been interested to know potential impact of thyroid cancer treatment on fertility. Oct 9, 2024 · A thyroidectomy is surgery to remove all or part of the thyroid, which is the butterfly-shaped gland located at the base of your neck. Apr 26, 2022 · Thyroid cancer is the second most common malignancy to co-occur in pregnancy. No language or date restriction was applied. This requires lifelong treatment with thyroid hormone replacement therapy. When thyrotoxicosis presents following delivery, postpartum thyroiditis must be differentiated from GD. Mar 13, 2024 · Thyroid removal, or thyroidectomy, is a surgery to treat thyroid problems like cancer, overactive thyroid, or large nodules. Although concerns exist regarding the risks associated with pregnancy after RAIT, no large-scale study, to date, has investigated the association between RAIT and pregnancy outcomes. These findings, from “the first population-based study to examine predictors of clinical and economic outcomes” in this patient group In summary, pregnancies among women with RA are associated with higher relative risks for various adverse maternal and fetal outcomes. In this review, we discuss differential diagnosis of hyperthyroid-ism, management, importance of early diagnosis, and importance of achieving proper control to avoid maternal and fetal complications. Women who become pregnant will need an increased dose of synthetic thyroid hormone, beginning as early as 6 weeks into pregnancy. However, worsening hypertension precipitated an urgent caesarean section and thyroidectomy at 32 weeks of gestation. The excellent outcomes expected for both follicular or papillary differentiated thyroid cancer in young cases. Infection. Avoiding maternal (and fetal) hypothyroidism is of major importance because of potential damage to The medical literature considers thyroidectomy after safe delivery. Anatomy of the recurrent laryngeal nerve (RLN). In this post, we look at the five most common thyroidectomy complications and how to deal with each of them. INTRODUCTION surgical treatment of thyroid cancer, to of cancer recurrence by suppressing TSH; Endocrinologists frequently need to supervise tion thyroid for benign nodular disease in a thyroid hormone treatment in pregnant women. ICD-10-CM Codes: However, all that changes when your diagnosis system changes October 1. Understanding the Jan 29, 2025 · The choice between total thyroidectomy (TT) and subtotal thyroidectomy (STT) can affect postoperative complications and long-term outcomes in these patients. Learn about thyroidectomy for goiter, including symptoms requiring surgery, risks, recovery time, and alternatives. Adherence to the current American Thyroid Association guidelines is poor. Pregnancy causes many changes to the thyroid gland and its function; thyroid hormone production during pregnancy increases by 50%. Understanding the Learn about partial thyroidectomy for hyperthyroidism, its benefits, risks, and recovery process. 0 may differ. Other side effects include tremors, spasms and low calcium levels. Management diverges after biopsy and diagnosis, as pregnancy affects timing of thyroidectomy and radioiodine exposure. Thyroid storm or thyrotoxic crisis. Fetal Risks: When considering a thyroidectomy during pregnancy, the potential risks to the baby should be taken into account. If left untreated, both hypothyroidism and hyperthyroidism are associated with adverse effects on pregnancy and fetal outcomes. But if you’ve undergone a thyroidectomy or survived thyroid cancer, there are some challenges you may face on your journey. These include: 3,4,5 Hypertension. The majority of cases are postsurgical (75%). This article explores the potential effects and offers insights into managing these complications for women planning a pregnancy after undergoing total thyroidectomy. Jun 5, 2025 · A thyroidectomy is the surgical removal of all or part of your thyroid gland. Thyroidectomy: surgery to remove the entire thyroid gland. Further, the rising prevalence of treated thyroid cancer in women of child-bearing age means that survivors of thyroid cancer are frequently presenting for obstetric care, occasionally in the setting of persisting structural disease. Thyroid nodules and thyroid cancer are common conditions and may be identified during pregnancy. At present, the most used robotic and endoscopic thyroidectomy approaches are minimally invasive video assisted thyroidectomy (MIVAT), bilateral axillo-breast approach endoscopic thyroidectomy E89. Miscarriage (spontaneous abortion): this occurs when a baby dies in the first few months of a pregnancy, usually before 22 weeks of pregnancy. We report a pregnant woman in her 30s with a history of Graves' disease, managed by total thyroidectomy and th … Jan 10, 2021 · Thyroid storm is a feared complication in patients with hyperthyroidism undergoing surgery. Here's how thyroid disease is managed before and after pregnancy. Rates of thyroid cancer has increased in recent years, especially in young woman. If overt hyperthyroidism from autonomously functioning nodules is detected prepregnancy, definitive therapy with thyroidectomy or radioactive iodine should be strongly considered, since the natural history is progres-sively worsening hyperthyroidism without remission and because antithyroid drug use in pregnancy confers a higher risk for fetal The ICD 10 CM codes for postprocedural endocrine and metabolic complications and disorders encompass a range of conditions that can arise following surgical interventions affecting the endocrine system. Sometimes bleeding can block your airway, making it hard to breathe. Jan 12, 2024 · Pregnancy after thyroidectomy – what you need to know Pregnancy is a life-changing experience for a parent. A large, population-based study published in Archives of Surgery demonstrates Jun 7, 2024 · Credit: Getty Images Cuoghi Edens, MD, offers insight on how rheumatologists can support and manage patients with rheumatic and musculoskeletal diseases who are pregnant or considering pregnancy. Premature delivery: birth of a baby before 38 weeks of pregnancy. Owing to the indolent nature of differentiated thyroid cancers, surgery can often be delayed to the immediate postpartum period without change in recurrence or mortality rate. Discover if thyroid surgery is the right treatment for you. 0 - other international versions of ICD-10 E89. Preeclampsia. Other manifestations, such as confusion or increased metabolic rate, appear as severe complications, known as a thyrotoxic crisis, that can be induced by labor, cesarean section, or gestational Abstract Thyroid disorders are common in women during pregnancy. Thyroidectomy is indicated for a variety of conditions, including benign disorders such as multinodular goiter Risks Thyroidectomy is generally a safe procedure. As a rule, pregnancy complicates the management of hyperthyroidism, rather than vice versa. Further education of both patients and clinicians is important to ensure that treatment of women during pregnancy after definitive treatment follows the currently available guidelines. In addition to the classic symptoms associated with hyperthyroidism, inadequately treated maternal hyperthyroidism can result in early labor and a serious complication known as pre-eclampsia. There is no evidence that thyroid cancer diagnosis necessitates pregnancy termination. thyroiditis compression the most functions common of thyroid hormone, hypothyroidism unrecognized in pregnancy syndrome hypoventilation, with Jul 22, 2018 · GD may be treated with antithyroid drugs, radioactive iodine, or thyroidectomy. Not only can hypothyroidism result in infertility problems, but it can also result in decreased sexual desire, which also becomes a problem for couples who want to conceive. We assessed the risk of thyroid storm for different preoperative treatment options for patients with primary hyperthyroidism undergoing surgery. Aug 14, 2025 · Thyroidectomy Recovery Stories From 3 Different Patients Potential Complications and What to Watch For While thyroid surgery is generally safe, complications can arise that sometimes need prompt treatment. The most recent studies are more flexible regarding carrying out this surgery during the second trimester of pregnancy. Potential complications include: Bleeding. Noenatal thyrotoxicosis may occur in association with maternal Graves’ disease due to maternal TSAbs cross through the placenta. We would like to show you a description here but the site won’t allow us. Which of the following complications does the nurse need to monitor the client for within the first 24 hours of surgery?. Pregnancy, plans for pregnancy, and lactation have important implications for the choice of GD treatment. the most common bearing age. Patients develop hypothyroidism (low thyroid hormone levels) following thyroid surgery, particularly when the entire thyroid gland is removed. Preoperative medical management of patients with thyroid disease, perioperative surgical management of patients undergoing The symptoms of hyperthyroidism in pregnancy include heat intolerance, anxiety, fatigue, tachycardia, tremor, nausea alongside vomiting, and weight loss despite retained appetite [3, 4, 5]. It is recommended that surgery be performed in the second trimester of Thyroidectomy is a common surgical procedure that has several potential complications or sequelae including: temporary or permanent change in voice, temporary or permanently low calcium, need for lifelong thyroid hormone replacement, bleeding, infection, and the remote possibility of airway obstruction due to bilateral vocal cord paralysis. Secondary thyroid surgery is rare, compared with primary thyroid surgery. 280. While it’s definitely possible to get pregnant after thyroidectomy, some people, both women and men, can deal with infertility. In this review, we discuss differential diagnosis of hyperthyroidism, management, importance of early diagnosis, and importance of achieving proper control to avoid maternal and fetal complications. They may recommend this procedure if you have Graves’ disease, multinodular goiter, or thyroid cancer. Between November 2010 1469 Thyroidectomy during Pregnancy and Correlated Complications and February 2011, all the pregnant patients diagnosed to have thyroid cancer were included. The surgical removal of the complete thyroid gland results in a lack of endogenous thyroxine hormone (T4), which has a vital role in metabolism, growth, and numerous bodily functions. Jun 27, 2024 · Understand the complications of thyroidectomy like low calcium levels, infection, voice changes & more. Awareness of these risks is important. 83 (Other specified complications of pregnancy; antepartum condition or complication). Learn how to manage and reduce these risks. Researchers indicated that clinicians should discuss the risks related to RA in pregnancy with their patients and closely monitor women with RA during pregnancy to improve outcomes. To ensure that optimal health outcomes are achieved for mother and child, it is Total or near-total thyroidectomy is the standard treatment for thyroid cancer, but surgery during pregnancy must balance maternal and fetal outcomes. Aug 1, 2007 · Management of thyroid diseases during pregnancy requires special considerations because pregnancy induces major changes in thyroid function, and maternal thyroid disease can have adverse effects on the pregnancy and the fetus. Doctors perform about 30% of thyroid removal surgeries because of cancer. The appropriate treatment is the only way to prevent the incidence of dangerous complications both to mother and foetus, including thyrotoxic crisis. Mar 18, 2024 · Potential major complications of thyroid surgery include bleeding, injury to the recurrent laryngeal nerve (see the first image below), hypoparathyroidism, hypothyroidism, thyrotoxic storm, injury to the superior laryngeal nerve (see the second image below), and infection. Total thyroidectomy is undertaken for various indications, including thyroid cancer, benign thyroid disease such as Graves’ disease, and multinodular goitre. Learn about total thyroidectomy for hyperthyroidism, including benefits, risks, recovery, and post-surgery care. However, patients who remain thyrotoxic during pregnancy are at increased risk of maternal and fetal complications, particularly miscarriage and stillbirth. Find out if thyroid removal surgery is right for you. m which of the following complications does the nurse need to monitor the client with the first 24 hr of surgery Oct 21, 2025 · Thyroid issues can have an impact on your fertility, as well as your pregnancy. In the authors' experience (n = 5), surgical treatment during the second trimester of pregnancy is a good option for more aggressive tumors. Women post-total thyroidectomy and women with hypothyroidism due to other reasons are at increased risk for adverse obstetric outcomes, while the risk is higher for pregnancies with total thyroidectomy as compared to hypothyroidism due to other reasons. May 8, 2018 · Although thyroidectomy can be performed during pregnancy for malignancy, many authors cite postponing surgery until after delivery if possible, secondary to risks to the fetus from the anesthesia. We searched the English-language literature for studies published between 1929 and 2009 related to management of hyperthyroidism in pregnancy. Because most to irradiation, to decrease the risk of women who require this treatment during their reproduc- and for selected cases of diffuse goiter, to tive years May 6, 2021 · Thyroidectomy may be considered before pregnancy or in rare cases in the second trimester. An experienced librarian (YZ) implemented the search strategy. This retrospective observational stu … Thyroid nodules and thyroid cancer are common conditions and may be identified during pregnancy. Iodine is avoided because of the risk of fetal hypothyroidism and goiter. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code O99. Women who undergo thyroid or parathyroid surgery during pregnancy have more operative complications and require longer hospitalizations than do nonpregnant women who have such surgery, as well as relatively high rates of maternal and fetal complications. Jul 24, 2024 · If the patient is planning for pregnancy and that is a reason why they have a thyroidectomy, one of the worst complications you can have is actually hypoparathyroidism. Dec 2, 2019 · Because of this information, an RA diagnosis certainly impacts decisions related to childbearing, quite possibly delaying pregnancy in this patient population. The comprehensive evaluation of thyroid nodules during pregnancy includes a medical history, physical examination, ultrasound assessment, and (when indicated) an ultrasound-guided fine-needle aspiration biopsy. A nurse is caring for a client who is postoperative following a thyroidectomy. Aug 4, 2017 · And even if your issue isn't diagnosed until you're already expecting, the good news is that a thyroidectomy can safely be performed on pregnant women according to researchers in Italy. This guide explains the common long-term effects of thyroid removal and how to handle them. Premature labour and pre-term delivery. a nurse is caring for a client who is postoperative following a thyroidectomy. Nov 25, 2024 · Thyroidectomy is a surgical procedure involving the resection of the thyroid gland that can be classified into 2 main types: total thyroidectomy, which refers to the complete removal of the thyroid gland, and partial thyroidectomy, which includes procedures such as thyroid lobectomy. Low parathyroid hormone levels (hypoparathyroidism). Oct 21, 2019 · ImportanceCurrent guidelines recommend that women delay pregnancy for 6 to 12 months after the receipt of radioactive iodine treatment (RAIT) following thyroidectomy for differentiated thyroid carcinoma. Discover when thyroid surgery is needed and what to expect post-operation. This study aimed to assess potential impact of thyroid cancer treatment on fertility and pregnancy rate in women in Israel. Nov 12, 2020 · What about women who had a thyroidectomy? After undergoing thyroidectomy, or removal of the thyroid, thyroid hormone is maintained with a daily pill of synthetic hormone. 6pp sxbqd rta0s xs mwom ksrvcb 6fp giga xs ocjk