June, I have been working with a mother here with this same diagnosis. If a
person has no further problems with her thyroid, and if it has been a long
enough time since the RAI so that she is clear of radioactivity, which
should not take years, but I donšt know for sure... Then I donšt think there
should be any problem... They should regulate her dose by blood test, as
usual with thyroid replacement. I am not sure there is any difference here
whatsoever, though I am no thyroid expert.
Kathleen
Kathleen Bruce RN IBCLC
Independent consultant:
Lactation Resources of Vermont, Medela, Inc. Listowner Lactnet listserv
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On 12/6/06 12:46 AM, "June & John" <[log in to unmask]> wrote:
> Hi All
>
> I have permission to post:-
>
> I have been asked about the inpact of CA Thyroid
>
> Here is a brief history
>
> This mother delivered in 2000 normal vaginal delivery, excellent lactation
> 2003 Diagnosed with CA Thyroid
> Had RAI, (Radioactive Iodine)on then put onto Thyroxin
> 2005 Right nodes Removed + RAI
> 2006 Pregnant
> Normal Pregnancy, On Thyroxin 100 mcg and every second day 150mcg normal
> thyroid function. induced at 41 weeks, NVD, Birth weight 3370, Thyroxin has
> been reduced to 100mcg since the birth. Baby hasnšt fed vigorously, Breast
> are full, but this mother feels her lactation isnšt establishing like her last
> breastfeeding experience.
> ? Would the lactation be slow due to the RAI, should the dose be kept the
> same?(150)
> What other factors am I missing?
>
> Thankyou for input
>
> June Nicholls
> IBCLC
>
>
>
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