The prevalence of thyroid dysfunction in the antenatal population attending outpatient department in a tertiary health centre
Abstract
Background: Normal function of thyroid gland will be affected during pregnancy because of its effect on pregnancy and its hormonal variations, other diseases of thyroid gland can also cause complications to both mother and fetus. Hypothyroidism is common in pregnancy–asymptomatic.
Aims & Objectives: To estimate the prevalence of thyroid dysfunction in the antenatal population attending out patient department in a tertiary health centre in Kulasekharam.
Subjects and Methods: The study was conducted at Outpatient department of, Obstetrics & Gynaecology in Sree Mookambika Institute of Medical Science, Kulasekharam. It is a cross sectional study where 60 antenatal women were included. The study involved administration of pretested questionnaire and measurement of thyroid function test.
Results: About 58% were diagnosed to have subclinical hypothyroidism and 10% were diagnosed to have subclinical hyperthyroidism.
Conclusion: Our study shows high prevalence of thyroid abnormalities in pregnant women suggest us the need for thyroid screening in pregnancy.
Downloads
References
2. Garel C, Léger J. Thyroid imaging in children. Endocr Dev. 2007;10:43-61.
3. Sahu MT, Das V, Mittal S, Agarwal A, Sahu M. Overt and subclinical thyroid dysfunction among Indian pregnant women and its effect on maternal and fetal outcome. Arch Gynecol Obstet. 2010 Feb;281(2):215-20. doi: 10.1007/s00404-009-1105-1. Epub 2009 May 13. [PubMed]
4. Casey BM, Dashe JS, Wells CE, McIntire DD, Byrd W, Leveno KJ, Cunningham FG. Subclinical hypothyroidism and pregnancy outcomes. Obstet Gynecol. 2005 Feb;105(2):239-45. [PubMed]
5. Leung AS, Millar LK, Koonings PP, Montoro M, Mestman JH. Perinatal outcome in hypothyroid pregnancies. Obstet Gynecol. 1993 Mar;81(3):349-53.
6. Vaidya B, Anthony S, Bilous M, Shields B, Drury J, Hutchison S, Bilous R. Detection of thyroid dysfunction in early pregnancy: Universal screening or targeted high-risk case finding? J Clin Endocrinol Metab. 2007 Jan;92(1):203-7. Epub 2006 Oct 10. [PubMed]
7. Männistö T, Vääräsmäki M, Pouta A, Hartikainen AL, Ruokonen A, Surcel HM, Bloigu A, Järvelin MR, Suvanto E. Thyroid dysfunction and autoantibodies during pregnancy as predictive factors of pregnancy complications and maternal morbidity in later life. J Clin Endocrinol Metab. 2010 Mar;95(3):1084-94. doi: 10.1210/jc.2009-1904. Epub 2010 Jan 15.
8. Stangaro GA et al. Overt Hyperthyroidism and Hypothyroidism during pregnancy. Clin Obstet Gynaecol 2011; 54(3):478-82. [PubMed]
9. Millar LK, Wing DA, Leung AS, Koonings PP, Montoro MN, Mestman JH. Low birth weight and preeclampsia in pregnancies complicated by hyperthyroidism. Obstet Gynecol. 1994 Dec;84(6):946-9. [PubMed]
10. Negro R, Schwartz A, Gismondi R, Tinelli A, Mangieri T, Stagnaro-Green A. Universal screening versus case finding for detection and treatment of thyroid hormonal dysfunction during pregnancy. J Clin Endocrinol Metab. 2010 Apr;95(4):1699-707. doi: 10.1210/jc.2009-2009. Epub 2010 Feb 3.
Copyright (c) 2016 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.
OAI - Open Archives Initiative
Therapoid
