Thyroid Screening in Obstetric Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 2
Abstract
Background: Although gestational hyperthyroidism is uncommon (0.2%), Hypothyroidism occurs in 2.5% to 3% of women and is predictive of reduced neonatal and child neuropsychological development and maternal obstetric complications. Postpartum thyroid dysfunction occurs in 5-9% of women and is associated with anti thyroid peroxidase antibodies in 10% of women in early pregnancy. Therefore, screening of thyroid dysfunction in pregnancy should be considered. T4 and TSH measurements could be used to screen for hypothyroidism, which would require levothyroxine treatment. T4 supply is crucial for maturation of fetal nervous system. Methods: Study was done in 1000 pregnant women. Screening was done by estimating T3, T4, TSH. Results: Out of 1000 pregnant women, 30 were diagnosed as hypothyroidism. Among them 5 were diagnosed as overt hypothyroidism and 25 cases were sub clinical hypothyroidism. 18 cases were diagnosed as hyperthyroidism. Among them 2 were overt hyperthyroidism and 16 were sub clinical hyperthyroidism. These patients are followed up and hypothyroid patients were treated with levothyroxine, hyperthyroid patients were treated with Propylthiouracil. Conclusion: Potential and inadequately treated hypothyroid patients present with problems in pregnancy. While adequately treated, hypothyroid or hyperthyroid women get normal ongoing pregnancy. So to identify these potential or overt hypothyroid women, and risk based screening has been shown to miss at least 30% of cases. So universal thyroid screening with T3, T4, TSH must be done during prenatal, at first booking, and repeated at 8 weeks interval thereafter in pregnancy.
Authors and Affiliations
Dr. B. Srinivas Rao, Dr. E. Indira, Dr. R. Rama
Keywords
Related Articles
- EP ID EP592495
- DOI 10.9790/0853-1602083440.
- Views 51
- Downloads 0
Surgical management of Sialolithiasis with minimal incision by extraoral push method: A case report.
Salivary gland calculi account for the most common disease of the salivary glands. The majorities of sialoliths occurs in the submandibular gland or its duct and are a common cause of acute and chronic infections. As in...
Jejunal Perforation: A Rare Presentation of Extra Nodal Follicular Lymphoma in Patientwith Hepatitis B
The non-traumatic perforations of the small intestine are pathological entities.The primary sources of the perforation might be foreign bodies, inflammatory diseases, tumors, infectious diseases, etc. In most cases intes...
Comparative study of intravenous ondansetron and intrathecal fentanyl for prevention of perioperative nausea and vomiting during caesarean delivery under spinal anaesthesia with hyperbaric bupivacaine.
Objectives: Some earlier studies has highlighted the analgesic potentiating effects of intrathecal fentanyl hydrochloride while some recent studies have focused on the effects of decreasing post operative nausea and vomi...
Dentistry at the Nano Level!!!
A new advancing field has been under development for the better diagnosis and treatment in the field of dentistry which is called Nanodentistry. This technology may also help in the preventive, restorative and curative p...
Role of Social Media in Teaching-Learning Among UnderGraduate Medical Students of Kolkata.
Introduction: In the modern cyber era, people often communicate through social media. Other than building and keeping mere relationship, different population group started to reap social media for special purposes. Stude...