MATERNALAND PERINATAL OUTCOME IN HYPOTHYROIDISM IN PREGNANCY.

Abstract

BACKGROUND: Pregnancy is a period that places great physiological stress on both the mother and the foetus .This study was conducted to analyse the fetomaternal outcome of pregnant women with hypothyroidism. The commonest thyroid disorder found in pregnancy is hypothyroidism and it adversely affects the maternal and foetal health in the form of infertility, early pregnancy loss, pre eclampsia , anaemia ,FGR, PROM, preterm labour, neonatal and maternal morbidity and mortality. Routine screening, early detection and conrmation of diagnosis and prompt treatment is required to ensure favourable maternal and foetal outcomes. METHODS: The present study was conducted in the department of obstetrics and gynaecology of Adhichunchanagiri Institute of Medical Sciences ,B.G Nagara , Mandya from November 2019 to October 2020.All pregnant females who are diagnosed as hypothyroidism , admitted to labour room were included in the study . RESULTS: In the present study the most common maternal complication is preeclampsia , postpartum haemorrhage and fetal complication is preterm labour. CONCLUSION: Maternal hypothyroidism is a disorder with great potential to adversely affect maternal and foetal outcomes .If the condition is diagnosed early and prompt initiation of treatment ,adequate follow up is done then the condition can be easy treated with very little detrimental effects to the mother and the foetus. This study concludes that sufcient education of the doctors and the patients about the universal screening, thyroid associated complications along with ease and advantages of prompt management is very much necessary.