Importance of Screening for Thyroid Functions in Early Pregnancy: Should It Be Made Mandatory

Authors

  • Anupama Jakhar Senior Resident ,Department of Obstetrics &Gynaecology,S.k. Medica College, Sikar, Rajasthan, India
  • Daljeet Kaur Assistant Professor, Department of Community Medicine, Government Medical College, Pali, Rajasthan, India
  • Jyoti Bala Department of Obstetrics &Gynaecology, A.N. Magadh Medical College, Gaya, India

Keywords:

Overt Hyperthyroidism, Overt Hypothyroidism, Screening, Subclinical Hyperthyroidism, Subclinical Hypothyroidism.

Abstract

Background: There is ongoing controversy over Universal screening for thyroid function in pregnant women .Objective: To study the thyroid profile of 200 first trimester pregnant women and to evaluate whether Thyroid function screening to be made mandatory or not. Methodology: 200 first trimester pregnant women attending department of Obstetrics and Gynaecology at A N Magadh Medical College & Hospital( ANMMCH),Gaya, Bihar ,India were included in the study . They were sent for Thyroid function testing. Depending on the hormone values, cases were grouped into:Euthyroidism,Subclinical Hypothyroidism,Overt Hypothyroidism,Subclinical Hyperthyroidism and Overt Hyper-thyroidism. Result: In our study 71 (35.5%%) cases found to have subclinical hypothyroidism, 1(0.5%) case was found to have subclinical hyperthyroidism, 7 (3.5%) cases found to have overt hypothyroidism and 1 (0.5%) case was found to have overt hyperthyroidism. 96 cases out of 200 belong to primipara group (48%) and this group had the highest rate of history of spontaneous abortion 7.5% .There is statistically significant association between parity and thyroid disorders. Conclusion: High cases of thyroid disorders in Indian pregnant women makes it necessary to screen all the pregnant women in early pregnancy so that timely treatment can be given and fetal and maternal complications can be avoided.The high prevalence of thyroid disorders in Indian pregnant women makes it necessary to screen all the pregnant women in early pregnancy.

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Published

2021-04-14

How to Cite

Jakhar, A., Kaur, D., & Bala, J. (2021). Importance of Screening for Thyroid Functions in Early Pregnancy: Should It Be Made Mandatory. International Journal of Health and Clinical Research, 4(7), 209–214. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/1358