Screening for Thyroid Function During First Trimester of Pregnancy- Should it Be Made Mandatory
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 8
Abstract
Our study was an outpatient department (OPD) based cross sectional study. During the study period, 500 antenatal cases were screened for thyroid function at their first trimester between the age group of 18 to 35 years. Serum thyroid-stimulating hormone, FT3, FT4 estimation was done by the Chemiluminescence assay method. We have followed the recent Endocrine Society guidelines for thyroid dysfunction. Our study emphasizes the need of universal screening of thyroid function during first trimester of pregnancy by screening the antenatal cases in their first trimester .We also calculated the prevalence of thyroid disorder. The overall prevalence of thyroid disorder was found to be 49.20%. Out of 500 pregnant lady 213 (42.60% %) was suffering from subclinical hypothyroidism with mean TSH level 3.924 ±1.06mIU/ml, and 21(4.2 %) were suffering from overt hypothyroidism with mean TSH 7.325 ± 0.968mIU/ml. 9 cases were suffering from subclinical hyperthyroidism with mean TSH 0.042±0.026 and only 3 cases were suffering from overt hyperthyroidism. Rest 254 50.8%) were euthyroid with mean TSH level 1.5±0.48mIU/ml. The mean age of the study population was 25.07 ± 4.33 years. In our study we found that 46.8 % pregnant women in first trimester was suffering from hypothyroidsm. Thyroid disorders are common in pregnancy, and the most common disorder is subclinical hypothyroidism. Even though universal TSH screening is not yet recommended, it should be considered in view of results shown by different studies and our study. Keywords: Thyroid-stimulating hormone, Pregnancy, Hypothyroidism, Hyperthyroidism, FT3, FT4
Authors and Affiliations
Saroj Jhuria, Reeta Bhuyan, Gokul Chandra Das
Keywords
Related Articles
- EP ID EP373828
- DOI -
- Views 39
- Downloads 0
Comparison of Clinical Findings, Histological Findings and Findings on DIF Examination in Autoimmune Vesiculobullous Disorders
Autoimmune blistering disorders are characterized by presence of pathogenic autoantibodies directed against target antigens which are components of desmosome or adhesion complex of basement membrane zone. This leads to c...
The Efficiency of Narrative Therapy on Forgiveness in Patients suffering from Major Depression Disorder
Forgiveness is one of the psychological and communicative processes to boost mental health and heal sufferings; it is necessary for communicative, emotional and spiritual growth of human beings and affects most of mental...
Difficult Physician-Patient Encounters in Ophthalmic Clinic
The objective of this study is to evaluate the prevalence of difficult patients in ophthalmic clinics.Difficult patients were retrospectively analyzed among 1,238 ambulatory patients seen by one physician during a two-mo...
Spectrum of Uterine Lesions in Non Pregnant Women of Reproductive Age Group Presenting with Abnormal Uterine Bleeding in Kumaon Region
Abstract: The objective is to study the spectrum of lesions in non-pregnant women of reproductive age group presenting with abnormal uterine bleeding in Kumaon region.A two year prospective cross sectional study was carr...
Clinical profile of paediatric patients presenting with ocular trauma to tertiary care centre
Abstract: The purpose of this study was to analyse the clinical profile of the paediatric patients (age < 15yrs) presenting with ocular trauma to tertiary care hospital. Materials and Methods: Retrospective review of rec...