The Study of Hypothyroidism in Pregnant Women and It's Effect on Maternal and Fetal Outcome

Dr Vijayalaxmi Davalagi, Dr Neeta

Abstract: Objective: To study the impact of maternal hypothyroidism on maternal and foetal outcome. Study Design: The study was conducted for the duration of 6 months from 17/8/20 to 10/3/21. Pregnant women with hypothyroidism who came for ANC check up to OBG Department, MMC&RI, Mysuru irrespective of gestational age, form the source of data. Results: In our study, subclinical hypothyroidism was associated with complications like PE (24%), Abruptio Placenta (1%), anaemia (12.5%), Abortion (4.8%), PPH (1.9%), preterm (8.65%), IUGR (13.46%), respiratory distress (27.88%), IUD (1.92%). overt hypothyroidism was associated with complications like PE (39.3%), Abruptio Placenta (7%), anaemia (17.9%), abortion (17.9%), PPH (3.6%), PTD (10.71%), IUGR (10.71%), RD (39.28%) and IUD (7.14%). Hypothyroid pregnant women in euthyroid state had complications like PE (14%), anemia (8%), PPH (2%), IUGR (14%), respiratory distress (10%) and IUD (2%). Conclusion: In our study, subclinical hypothyroidism was associated with complications like PE (24%), abruptio placenta (1%), anaemia (12.5%), abortion (4.8%), PPH (1.9%), PTD (8.65%), IUGR (13.46%), respiratory distress (27.88%) and IUD (1.92%). Overt hypothyroidism was associated with complications like PE (39.3%), abruptio placenta (7.1%), anaemia (17.9%), abortion (17.9%), PPH (3.69%), PTD (10.71%), IUGR (10.71%), respiratory distress (39.28%) and IUD (7.14%). Hypothyroid pregnant women in euthyroid state had complications like PE (14%), anaemia (8%), PPH (2%), IUGR (14%), respiratory distress (10%) and IUD (2%), emphasizing the importance of routine antenatal thyroid screening in first trimester. This study re-emphasizes that the requirement of close surveillance of thyroid status to maintain euthyroidism and intensive foetal monitoring during pregnancy to achieve good maternal and perinatal outcome.

Keywords: subclinical hypothyroidism, overt hypothyroidism, IUGR, preterm delivery

How to Cite?: Dr Vijayalaxmi Davalagi, Dr Neeta, "The Study of Hypothyroidism in Pregnant Women and It's Effect on Maternal and Fetal Outcome", Volume 11 Issue 2, February 2022, International Journal of Science and Research (IJSR), Pages: 975-979, https://www.ijsr.net/getabstract.php?paperid=SR22221131256, DOI: https://dx.doi.org/10.21275/SR22221131256