Indian Journal of Public Health Research & Development
  • Year: 2019
  • Volume: 10
  • Issue: 5

A Study of Prevalance of Thyroid Dysfunction in Pregnancy in a rural Hospital of Uttar Pradesh

1Junior Resident, Department of Obstetrics & Gynaecology, Saraswathi Institute of Medical Sciences, Hapur

2Assistant Professor, Department of Obstetrics & Gynaecology, Saraswathi Institute of Medical Sciences, Hapur

3Senior Resident, Department of Obstetrics & Gynaecology, Saraswathi Institute of Medical Sciences, Hapur

4Professor (Former), Department of Obstetrics & Gynaecology, Saraswathi Institute of Medical Sciences, Hapur

*Corresponding Author: Dr. Sunil Takiar Assistant Professor, Department of Obstetrics & Gynaecology, Saraswathi Institute of Medical Sciences, Hapur, Email: suniltakiar@rediffmail.com

Online published on 4 June, 2019.

Abstract

Thyroid dysfunction is the 2nd most common endocrine disorder in women of childbearing age affecting two generations. There is no clear data available for rural areas of this sub-Himalayan zone, once with a known endemicity for iodine deficiency. A total of 300 pregnant women attending antenatal OPD of a tertiary care centre (SIMS, Hapur) in rural western UP, at their first visit, were enrolled for study. Epidemiological & clinical details were recorded and thyroid screening test (TSH) done after confirmation of pregnancy. Patients were followed up until delivery.

Out of the 300 patients enrolled, 20 were excluded and 280 were finally analysed. As per trimester specific reference range for TSH, patients were categorised into 3 groups. Euthyroid (n=233, 83.2%), Subclinical (n=43, 15.3%), and overt Hypothyroid (n=4, 1.4%) groups. Subclinical hypothyroidism detection rate was a little higher (17.6%) in 2nd trimester than elsewhere while overall prevalence was 16.8%. The rates of prevalence of Hypothyroidism in the pregnant population in our study confirms largely with data from other studies in the region

Keywords

Thyroid dysfunction, Pregnancy, Rural