Prevalence of hypothyroidism in pregnancy
Journal Title: Obs Gyne Review: Journal of Obstetric and Gynecology - Year 2018, Vol 4, Issue 4
Abstract
Introduction: Pregnancy is a period that places great physiological stress on both the mother and the fetus. Thyroid disorders are among the common endocrine disorders in pregnant women after diabetes mellitus. Several changes are observed in maternal thyroid function during pregnancy and failure to adapt to these physiological changes results in thyroid dysfunction. When pregnancy is compounded by endocrine disorders such as hypothyroidism, the potential for maternal and fetal adverse outcomes can be immense. Methods: The present study was conducted at KIMS hospital, Narketpally. It is a prospective type of study which includes 48 patients diagnosed to have thyroid disorder during their antenatal checkup in the first trimester. It also includes known cases of thyroid disorder. TSH level was estimated. If it is deranged, then FT3 and FT4 levels were estimated. Prevalence of hypothyroidism was noted. Patients were managed accordingly and followed till delivery. Their obstetric and perinatal outcomes were noted. Results: In the present study, 48 out of 700 pregnant women screened had thyroid disorders. The prevalence of Hypothyroidism in this study is 6.8%.In the present study, it is affecting more in the age group of 21 to 30 yrs in multigravida, the prevalence of subclinical hypothyroidism is 6.1% and overt hypothyroidism is 0.7% .86% of pregnancies with SCH had cesarean section, fetal distress (48.38%) being the most common indication. The perinatal mortality rate in hypothyroid women was found out to be 5.5%. Conclusion: Routine screening, early confirmation of diagnosis and prompt treatment is required to ensure favorable maternal and fetal outcomes. Subclinical hypothyroidism also needs to be detected and treated to prevent adverse outcomes. It is difficult to diagnose hypothyroidism clinically in pregnancy due to non specific presenting features which may be masked by existing obstetric symptoms. While targeted case finding is generally practiced, recent evidence seems to indicate that universal screening might be a better option.
Authors and Affiliations
Amrita Singh, Sushma Pedduri
Keywords
Related Articles
- EP ID EP497833
- DOI 10.17511/jobg.2018.i4.02
- Views 177
- Downloads 0
Effects of awareness programme on the knowledge, attitude and practice of gender preference & pre-natal sex determination in population of Nasik district
Introduction: India is facing a demographic nightmare in terms of gender imbalance, The worrying fact is the child sex ratio in Nashik district is 890 which is much lower than the national average of 919. This rate of de...
Cutaneous manifestation in pregnancy
Back ground: During pregnancy there is immunologic, metabolic, endocrine and vascular changes responsible for physiological and pathological skin changes. Aims and Objectives: The objectives of the study to determine the...
Prevalence and analysis of abnormal Pap smear: Prospective study of 752 patients in a tertiary care hospital of South India
Background: Cancer of the cervix is the third most common cancer in women. In India and other developing countries cervical cancer is the leading cause of morbidity and mortality. Cancer cervix is readily preventable, an...
Primary amenorrhoea – a single centre experience of 38 cases
Introduction: Primary amenorrhoea is defined as absence of menstruation by the age of 14 in absence of secondary sexual characteristics & by age 16 regardless of the presence or absence of secondary sexual characteristic...
A clinicopathological study of correlation of clinical, sonological and histopathological findings following hysterectomy for abnormal uterine bleeding based on PALM-COEIN Classification
Background: To identify the proportion of different causes of Abnormal Uterine Bleeding in women undergoing hysterectomy according to the PALM COEIN classification proposed by FIGO. Methods: Collection of data was done...