PREVALENCE OF HYPOTHYROIDISM AMONGST PREGNANT WOMEN

Dr. Prakash B Prajapati, Dr. Himanshu J. Parmar, Dr. Pallavi A. Patel

Abstract


BACKGROUND: Thyroid disorders are the commomest endocrine disorders in women of reproductive age group.The most common thyroid
disorder in pregnancy is hypothyroidism.During early pregnancy foetus is totally dependant on maternal thyroid hormone supply.Thyroid
hormone is critical for intellectual development of foetus.
MATERIALS AND METHODS: History of all pregnant women in study was taken.Clinical examination of all pregnant women in study was
done.Serum TSH(Thyroid Stimulating Hormone) level of all women was measured in first trimester between 6-10 weeks of gestation.
RESULTS: Prevalence of hypothyroidism was 9.2 %.Prebalence of subclinical hypothyroidism was 8.5 % and that of overt hypothyroidism was
0.7 %.Risk factors are advanced maternal age and increased BMI(Body Mass Index).
CONCLUSIONS: Prevalence of hypothyroidism is increased in pregnancy.So screening of hypothyroidisn is required in first trimester in all
pregnant women.


Keywords


Hypothyroidism,Prevalence,Screening

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References


-Williams Textbook of Obstetrics

-Wikipedia

-Ian Donald’s Textbook of Obstetrics

-Arias’ Textbook of High Risk Pregnancies

-Dewhurst’s Textbook of Obstetrics

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-Casey BM,Leveno KJ.Thyroid diseases in pregnancy

-Jagtap NV.Prevalence and Impact of Thyroid disorders on maternal outcome in Asian-Indian pregnant women

-Sahu MT,Das V.Overt and Subclinical thyroid dysfunction among Indian pregnant women and its effect on maternal and fetal outcome

-Davis LE,Leveno KJ,Cunningham FG.Hypothyroidism complicating pregnancy


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