Study on prevalence of hypothyroidism in pregnancy in rural population of Pilkhuwa, Hapur, U.P.

Abstract

Introduction: Thyroid dysfunction is a common endocrine disorder in pregnancy. Thyroid hormones are necessary for development of fetal brain during pregnancy. Thyroid dysfunction during pregnancy has significant adverse effects such as preterm delivery, preeclampsia, miscarriage and low birth weight. In India one of the common health issues is hypothyroidism in pregnant patient. There is lack of data regarding prevalence of hypothyroidism in pregnancy while the problem is increasing day by day. Aim & Objective: 1. To study the prevalence of Hypothyroidism in rural population of Pilkhuwa, Hapur; 2. To study the age and trimester of pregnancy in relation to Hypothyroidism; 3. To Early diagnosis of disease so as to reduce morbidity & mortality; 4. To suggest corrective measures based upon the information gathered in the study. Materials and Methods: A study was conducted at Yashoda clinic Pilkhuwa Hapur. Patients attending antenatal clinic and checkup were included and TSH reports were collected. Observation: A total of 101cases were included in the study that came for antenatal check-up. Out of 101 cases, 59 are euthyroid. 16 cases had TSH between 2.5 -3.0. 26 cases had TSH from 3.0 -7.5. None of the patient had TSH equal to or above 10 units. Result: In first trimester 7 cases out of 81 which required treatment with eltroxin and needed follow up. 32 out of 81 cases required only follow up. In second trimester 3 cases out of 15 which required treatment with eltroxin and follow up. 7 cases out of 15 required follow up. In third trimester none of the cases in third trimester required treatment or follow up. Conclusion: Hypothyroidism is an important health issue among pregnant women which can cause several complications in ongoing and future pregnancies like recurrent abortions, infertility, PIH, preterm labour APH, PPH. All pregnant women and ladies who are planning pregnancies should be screened for thyroid disease. Keywords: Hypothyroidism, India, Prevalence, subcli