STUDY OF HYPOTHYROIDISM COMPLICATING PREGNANCY AND ITS MATERNAL AND FETAL OUTCOME

Dr. Aashita Singh, Dr. M. Vijayasree

Abstract


AIMS AND OBJECTIVES:

1. To study occurrence of hypothyroidism in our hospital.

2. To study the maternal and fetal outcome in pregnant women diagnosed with hypothyroidism.

MATERIALS AND METHODS:

• It was a retrospective study from January 2018 to December 2018 conducted at Department of Obstetrics and Gynaecology in Mamata

 general hospital Khammam. The demographic data and other relevant data collected from past records and was analysed with a sample size of 50.

• Apart from the routine obstetrical investigations, TSH was done as a screening test. Cut off values for TSH as

per American Thyroid Association - 1st trimester: 0.1 -2.5 micro iu/L, 2nd trimester: 0.2-3.0 micro iu/L, 3rd trimester: 0.3 -3 micro iu/L.

 Those with the abnormal tests were categorized as Subclinical hypothyroid (Normal FT4 with high TSH), Overt hypothyroidism (Low FT4 with high TSH)

RESULTS:

In the present study, most common obstetric complication observed was preeclampsia (26%) followed by gestational diabetes (16%) and

 most common fetal complication was preterm delivery (37.5%).

CONCLUSION: In view of the high prevalence of the thyroid dysfunctions and its association with different adverse pregnancy related complications,

 routine screening and adequate treatment is important to prevent adverse maternal and fetal outcomes.


Keywords


Preeclampsia, Gestational Diabetes , Preterm Delivery, Hypothyroidism

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References


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