Hospital Based Prevalence of Hypothyroidism Among Pregnant Women During Pregnancy, A Cross-Sectional Study (Research Article)

Author(s): Shrikant Chandrakar*

Abstract: Background: Thyroid diseases are the one of the commonest endocrine disorders affecting women of reproductive age group & hence constitutes the commonest endocrine disorder in pregnancy. It has long been seen that maternal thyroid hormone deficiency or excess can influence further the outcome for mother & foetus at all stages of pregnancy as well as interfere with fertility & ovulation.1,2 Maternal hypothyroidism is the most common disorder of thyroid function in pregnancy & has been associated with foetal loss, miscarriage, preterm delivery, preeclampsia, low birth weight, placental abruption, foetal distress & reduced intellectual function of the offspring. Pregnancy is very delicate & it is too much necessary to be aware of the various many factors that can further prevent a healthy pregnancy. Awareness of such kind of problems can lead to the prevention of many complications. Thyroid awareness in pregnancy can further prove to be a lifesaver for both mother & child2. Aims & objective: Primary objective: To assess Hospital Based Prevalence of Hypothyroidism among Pregnant Women During Pregnancy who attend antenatal check-up in obstetric clinic or admitted in obstetrics & gynaecology department due to some other obstetrics reasons. Secondary objective: To assess the awareness about Hypothyroidism among the pregnant women coming for antenatal check-up. To give appropriate recommendation on the basis of study findings. Early diagnosis of Hypothyroidism will require for early Treatment to minimize the Hypothyroidism related adverse events to pregnant mother & new-born. Methods: Cross sectional study was done taking 200 pregnant irrespective of Age, parity, or socioeconomic status. Study subjects who are willing to participate in the study & given written consent. Results: Prevalence of thyroid disorders, especially subclinical hypothyroidism (9.69%), overt hypothyroidism (2.55%) & total hypothyroidism (12.3%) was high. Interpretation and conclusion: The present study has paved the way for the acceptance of universal thyroid screening in pregnant women, especially in the Indian context.

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