Endocrine Disorders in Pregnancy:
Sequoia Medical 360

Comprehensive Care for Mother & Baby at Sequoia Medical 360 – Serving Bronxville, Westchester & All of New York via Telehealth

Pregnancy is a time of profound hormonal and metabolic change. For most women, these shifts support a healthy pregnancy. But for some, they can unmask, worsen, or trigger endocrine disorders that require expert management. Left unrecognized, these conditions can affect both maternal health and fetal development — sometimes with lifelong implications for both.
At Sequoia Medical 360, we provide specialized endocrine care during pregnancy, integrating advanced diagnostics, continuous monitoring, and close collaboration with your OB/GYN or maternal-fetal medicine team. Whether you face gestational diabetes, thyroid dysfunction, calcium disturbances, or rarer adrenal and pituitary conditions, our goal is to ensure the safest possible pregnancy while protecting your long-term health.

Why Specialized Endocrine Care in Pregnancy Matters

Pregnancy creates unique physiologic stress on the thyroid, pancreas, adrenal glands, and calcium-regulating systems. These changes can:

Increase insulin resistance, raising the risk for gestational diabetes.
Heighten thyroid hormone needs by up to 30–50%.
Alter calcium metabolism, impacting both maternal bone strength and fetal skeletal development.
Stress the adrenal and pituitary systems, unmasking disorders that might otherwise remain silent.

Because standard lab ranges often shift during pregnancy, many disorders go missed or undertreated without subspecialty evaluation. At Sequoia Medical 360, we interpret labs and imaging through a pregnancy-specific lens to ensure precision diagnosis and management.

Expertise

Gestational Diabetes (GDM)

Gestational diabetes is one of the most common pregnancy-related endocrine disorders, affecting up to 10% of pregnancies. It occurs when the body cannot overcome the insulin resistance created by placental hormones, leading to high blood sugar levels.If left unmanaged, GDM can result in:

If left unmanaged, GDM can result in:
Macrosomia (large birth weight), complicating delivery.
Preterm birth or increased cesarean section risk.
Neonatal hypoglycemia after delivery.
Increased maternal risk of developing Type 2 diabetes later in life.
Our Approach:
Early risk assessment for women with PCOS, obesity, or prediabetes.
Use of continuous glucose monitoring (CGM) to track trends beyond fingersticks.
Precision nutrition strategies and exercise prescriptions tailored to pregnancy.
Safe medication use (e.g., insulin or selected oral agents if needed).
Postpartum metabolic screening and long-term prevention strategies.
Learn more on our Diabetes Care Page

Thyroid Disorders in Pregnancy

The thyroid plays a critical role in fetal brain and nervous system development. Untreated hypothyroidism or hyperthyroidism in pregnancy increases the risk of miscarriage, preeclampsia, preterm delivery, and impaired neurodevelopment in the child.

Hypothyroidism in Pregnancy:
Often due to Hashimoto’s thyroiditis.
Can cause fatigue, weight gain, constipation, and cognitive slowing.
Requires careful levothyroxine titration, as thyroid hormone needs rise during pregnancy.
Hyperthyroidism in Pregnancy:
Often caused by Graves’ disease or thyroid nodules producing excess hormone.
Can result in rapid heartbeat, weight loss, and pregnancy complications such as preterm labor.
Managed with safe, pregnancy-appropriate antithyroid medications and close monitoring.
Our Approach:
Trimester-specific TSH and free T4 targets.
Antibody testing to guide maternal and fetal monitoring.
Close collaboration with OB for fetal growth surveillance.
Learn more on our Thyroid Disorders Page

Calcium & Bone Disorders in Pregnancy

Calcium is vital for fetal skeletal development and maternal bone strength. Disorders of calcium regulation require precise management to avoid risks for both mother and child.

Hypocalcemia:
May occur after thyroid or parathyroid surgery, or due to hypoparathyroidism.
Symptoms: muscle cramps, tingling, seizures.
Can impair fetal calcium transfer and bone development.
Hypercalcemia:
May occur after thyroid or parathyroid surgery, or due to hypoparathyroidism.
Symptoms: muscle cramps, tingling, seizures.
Can impair fetal calcium transfer and bone development.
Hypercalcemia:
Often due to primary hyperparathyroidism.
Symptoms: fatigue, kidney stones, constipation, bone pain.
High maternal calcium levels can suppress the baby’s parathyroid glands, causing dangerous neonatal hypocalcemia after birth.
Our Approach:
Advanced diagnostics (PTH, vitamin D metabolites, urinary calcium).
Safe supplementation or targeted medication when needed.
Coordination with neonatology for postpartum monitoring.
Learn more on our Bone Health Program

Adrenal & Pituitary Disorders in Pregnancy

Though rare, these disorders carry high stakes and demand expert care.

Adrenal Disorders:
Cushing’s syndrome (excess cortisol) may worsen hypertension, diabetes, and preeclampsia.
Addison’s disease (adrenal insufficiency) can cause life-threatening adrenal crises if unrecognized.
Pituitary Disorders:
Prolactinomas can enlarge during pregnancy due to estrogen stimulation.
Sheehan’s syndrome (pituitary damage after severe postpartum hemorrhage) may impair long-term hormone function.
Our Approach:
Baseline hormone panels and trimester-specific monitoring.
Tailored medication strategies compatible with pregnancy.
Coordination with OB/MFM for delivery planning and postpartum care.
Learn more on our Pituitary Disorders Page
Adrenal Disorders Page

Integrated Care Beyond Pregnancy

Endocrine disorders in pregnancy often have long-term implications:

Women with gestational diabetes face a 50–70% lifetime risk of Type 2 diabetes.
Autoimmune thyroid disease may persist or flare postpartum.
Bone and calcium disorders can progress without follow-up.
At Sequoia Medical 360, our model includes:
Postpartum follow-up for mothers, including glucose testing, thyroid panels, and bone density assessments when indicated.
Risk reduction strategies to prevent transition into chronic disease.
Cross-linkage to our Diabetes, Thyroid, Bone Health, and Weight Management programs.

The Sequoia Medical 360 Advantage in Pregnancy Endocrinology

Quadruple board-certified expertise across Endocrinology, Preventive Cardiology, Obesity Medicine, and Lipidology.
Direct Physician Counsel: Ample, scheduled exam time and streamlined communication to review results with the depth your physiology requires.
Advanced diagnostics beyond routine OB care, including InBody analysis, lipid subfractions, inflammatory markers, and CGM.
Collaborative care with OB/GYN and maternal-fetal medicine, ensuring integrated support for mother and baby.
Long-term continuity — we don’t just manage pregnancy, we protect your health into the future.

Begin Your Pregnancy with Confidence

Pregnancy should be a time of excitement — not uncertainty about complex endocrine issues. At Sequoia Medical 360, we deliver the expertise, technology, and personal partnership to keep you and your baby safe, healthy, and thriving.

Meet Dr. Mathews
The Sequoia Standard
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SQMed360.com
Located in Bronxville, serving Westchester & all of New York State.
(914) 292-0300
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