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unimmtoueA syiriodthti ak(a maosohHi)t + t-tgr&;pnne-ga ikTnh obuat ltiyipisbso fo lfeta hiytodhmpriyos deu ot iobnadty tedeimda meatrlan ooymhsdtii.ryhp adLse to irCst.mien iisndgnF ni tfanni rea eht 6'P (Pto l,lbye lPe,a Pfyuf c,fae rntgudPrio mliusc,ubi ttPbarnoreu g,oetnu adn Proo raniB oveldenme.tp

neonem  I don't understand the last part of this question stem though... if the mother's TSH *increases* during pregnancy? Wouldn't this further increase her (and/or the fetus's) production of T4 and thus counteract the hypothyroidism? +  
poojaym  @neonem no. Autoimmune hypothyroidism is a destruction of the thyroid gland, and a decrease in production of T3/T4. An increase in TSH means that there is not enough T3/T4 to inhibit TRH, and so TSH is being released to stimulate the thyroid gland. +31  
arezpr  TSH, T3, T4 and thyroglobulin cannot cross the placental barrier. +  
chamaleo  @arezpr although those hormones can't cross, the autoantibodies from Hashimoto's can +  
yotsubato  The baby has its own TSH though +  
sbryant6  TSH comes from the pituitary, and act on the thyroid. Autoantibodies attack the thyroid, so TSH doesn't work. +  
kimcharito  no goiter then? +  
lola915  I think there is no goiter because the baby's thyroid gland has not fully developed and these immunogloblulins from the mother could attack the thyroid gland leading to issues with it's development. +