Maternal and perinatal outcome in antenatal women with hypothyroidism
Journal Title: International Archives of Integrated Medicine - Year 2017, Vol 4, Issue 12
Abstract
Background: Maternal hypothyroidism is common disorder of thyroid function in pregnancy and has been associated with miscarriage, foetal loss, preeclampsia, preterm labour, placental abruption, foetal distress, etc. Aim and objectives: To know the incidence of hypothyroidism in antenatal women, to screen 1000 antenatal women attending the antenatal OP in Government Victoria Hospital from January 2015 to December 2015, to know the obstetric outcome of pregnant women suffering from hypothyroidism. Materials and methods: A random prospective study was conducted in a total of 1000 pregnant women in the first trimester of any gravid status and parity attending the OPD unit in Government Victoria Hospital, Visakhapatnam from January 2015 to December 2015. Inclusion criteria were antenatal women with <12 weeks gestation, singleton pregnancies only and either primigravida or multigravida. Results: Out of the 1000 women screened 68 antenatal women were found to have hypothyroidism. Rate of incidence of hypothyroidism is 6.8/100 women. Subclinical hypothyroidism is seen in 51 women and overt hypothyroidism is seen in 17 women. Incidence of maternal complications in subclinical hypothyroidism- miscarriages-5.88%, preterm labour- 11.76%, preeclampsia- 17.64%, IUD- 1.96%. Incidence of foetal complications in subclinical hypothyroidism was IUGR-9.8%, LBW- 7.84%, foetal distress- 3.92%, stillbirth- 1.96%. Incidence of maternal complications in overt hypothyroidism- miscarriages- 17.64%, preterm labour- 11.76%, preeclampsia- 29.41%, APH- 11.76%, IUD-5.88%. Incidence of foetal complications in overt hypothyroidism was IUGR-17.6%, LBW- 11.76%, foetal distress- 11.76%, stillbirth- 5.88%. Conclusion: Incidence of hypothyroidism (6.8%) is more in pregnancy. Maternal and perinatal complications are more with overt hypothyroid cases, emphasizing the need for routine screening for thyroid in early pregnancy.
Authors and Affiliations
Polumuru Usha Devi, Gundu Vanaja
Keywords
Related Articles
- EP ID EP412981
- DOI -
- Views 113
- Downloads 0
Clinical Profile of Childhood Tuberculosis in a Tertiary Care Rural Hospital
Introduction: Tuberculosis (TB) remains a major public health problem, despite noteworthy socio-economic development and advances in medical science. It is a curable disease but still millions of people suffer every year...
Awareness, Knowledge and Practices on Bio-Medical Waste Management Among Health Care Professionals in Mangalore- A Cross Sectional Study
Introduction: Bio-medical wastes are of great importance due to its potential environmental hazards and health problems. The waste produced in the course of health care activities carries a higher potential for infection...
Role of Sildenafil in ovulation induction – A comparative study of outcomes with Sildenafil in ovulation induction cycles with Clomiphene Citrate
Background: Sildenafil causes vasodilatation by relaxing the smooth muscles of blood vessels. This enhances endometrial development, the health of which is indispensable for implantation and embryonic and fetal developme...
A comparative study of peak expiratory flow rate among healthy working women and housewives of Ahmedabad
Background: The growth of population, industry, number of vehicles and improper implementation of stringent emission standard makes the problem of air pollution worse. Automobile exhaust consists of particulate matter an...
Microbiological profile of respiratory tract infections among HIV-infected and HIV-non infected patients: A comparative study
Background: The respiratory tract infections are among the first few secondary infections commonly seen in HIV infected patients. Hence, this study was undertaken to document the occurrence of bacterial and fungal respir...