A CASE REPORT: CHALLENGES IN THE MANAGEMENT OF TOXIC MULTI NODULAR THYROID IN PREGNANCY WHO HAD CRISIS THYROID

Managing crisis thyroid in toxic multi nodular pregnancy is challenging. This case objective to highlight comprehensive treatment going safe mother & baby’s life. A woman, 43 years old 13th week of her third pregnancy, admitted emergency room with palpitating and vomiting as chief complaints. Her complaints had started since she stopped taking propylthiouracyl. She used take it diagnosed hyperthyroid. was hyperthyroid pregnancy. The first main goal stabilize the patient, curing precipitate factors, assist have a healthy baby. discharged from hospital day 7th. routinely checked FT4 for evaluation switch on Thyrozol during 25-26th weeks continued until postpartum. baby delivered vaginally normal APGAR score growing well. Based experience, agreed IUD prevent unplanned