HYPOTHYROIDISM IN PREGNANCY
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Keywords
Hypothyroidism, pregnancy, subclinical hypothyroidism, targeted screening, universal screening
Abstract
Back ground: Pregnancy is a period that places great physiological stress on both the mother and the fetus. When pregnancy is compounded by endocrine disorders such as hypothyroidism, the potential for maternal and fetal adverse outcomes can be immense.
Setting: This prospective observational study was conducted in Obstetrics & Gynaecology department of MKCG Medical College, Berhampur, Odisha.
Aim: To study the maternal-fetal outcome and complications during pregnancy, labor and post-partum period presents a special importance in presentday obstetrics in hypothyroidism.
Observation: Present study showed that there is significant association between thyroid disorders and adverse perinatal outcome
Conclusion: Prompt diagnosis and treatment of hypothyroidism in pregnancy is very essential. Subclinical hypothyroidism also needs to be detected and treated to prevent adverse outcomes, especially maternal. Post-partum follow-up is mandatory. Recent evidence seems to indicate that universal screening might be a better option.
References
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Dr Subhalaxmi Dash
Asst Professor, Dept of O&G, MKCG Medical College, Berhampur, Odisha, India
Dr Sudhanshu Sekhara Nanda
Asst. Professor, Dept of O&G, PRM Medical College, Baripada, Odisha, India
Dr Mahija Sahu
Professor, Dept. of O&G, MKCG Medical college, Berhampur, Odisha, India.
Dr Chintamani Mahanta
Asso. Professor, Dept of O&G, PRM Medical College, Baripada, Odisha, India