MATERNAL AND FETAL OUTCOME AMONG PREGNANT WOMEN PRESENTING WITH HYPOTHYROIDISM.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2019, Vol 7, Issue 2
Abstract
Background:Thyroid disorder is the second most common endocrine disorder affecting women of reproductive age. The increased prevalence of thyroid dysfunction in pregnancy and the need for proper management to reduce obstetrical and neonatal adverse events led us to collect the baseline data on hypothyroidism in pregnancy in our population. Material and methods: A total of 1203 consecutive pregnant women attending antenatal clinic in our hospital and consented to participate were studied. All women were tested for TSH levels (determined by chemiluminescent enzyme immunoassay) . Women having higher than normal range of TSH (>2.5mIU/L in first trimester and >3.0mIU/L in second trimester were further tested with repeat TSH & T4. Results: 118 (9.8%) were found to be hypothyroid. The mean age of the women was 26.2?3.7years. 21.2% women had history of previous one or more spontaneous abortions, 15.3% had history of infertility. Symptoms of hypothyroidism were present in 33.9% women, 4.2% women had goiter. Mean BMI was 26.1kg/m2. 72.9% were newly diagnosed in current pregnancy and 27.1% were known cases of hypothyroidism. 18.1% women had pregnancy induced hypertension, 11.9% had preterm labor, and 10.2% each had placental abruption and premature rupture of membranes. 7.6% women had intrauterine growth restriction. Caesarean rate was 41.5% of which 54% were for foetal distress. 16% of neonates were admitted to NICU. Conclusions: Based on the results of this study, we recommend universal screening of hypothyroidism in pregnancy for early diagnosis and treatment of this potentially treatable condition complicating pregnancy.
Authors and Affiliations
Ashok Verma, Dipen Parekh, Meenakshi Verma, Suresh Verma, Ruchi Shah, Kranti Bishat.
Keywords
Related Articles
- EP ID EP492323
- DOI 10.21474/IJAR01/8587
- Views 66
- Downloads 0
CLASSIFICATION AND DETECTION OF ACUTE STROKE USING MRI PROTOCOLS.
A retrospective study aimed to evaluate the role MRI protocol diagnosis in acute stroke, prevalence, distribution and co-factors in Sudia population during June 2017-December 2018. 120 patients male 92 and 28 female) wer...
CARDIAC INVOLVEMENT IN IRAQI PATIENTS WITH SYSTEMIC SCLEROSIS (SCLERODERMA).
Background: Systemic sclerosis (Scleroderma) is a chronic multisystem disease of unknown etiology, has been considered a disease of metabolic disorder of connective tissue. Methodology: A case control study. Thirty patie...
ACUTE HYDROCEPHALUS SECONDARY TO INTRAVENTRICULAR NEUROCYSTICERCOSIS CAUSING SUDDEN DEATH.
Neucysticercosis (NCC) is the most common Helminthic infection of the central nervous system and its epidemiology is changing due to increasing travel and migration. Evidence to guide management of the intraventricular f...
THE ASSOCIATION AND DIFFERENCES OF OVERUSE INJURY OCCURRENCES AND TRAINING RELATED SUPPORTIVE FACTORS IN ETHIOPIAN YOUTH RUNNING ATHLETES.
Runners sustain injuries at an alarming rate. According to various epidemiologic studies (Rochcongar P, Pernes J, Carre F, et al. 1995; Walter SD, Hart LE, McIntosh JM, et al, 1989), between 27% and 70% of recreational a...
DETERMINATION OF SERUM MATRIX METALLOPROTEINASE 2 AND 9 (MMP-2) (MMP-9) IN BREAST CANCER INVASION AND METASTASIS.
Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death among women worldwide. Matrix metalloproteinases (MMPs) are a family of enzymes implicated in the degradation and remodeling of...