To assess maternal characteristics and outcomes affected by hypothyroidism during pregnancy in a rural area of Tamil Nadu. One hundred ten pregnant women were selected. Parameters such as parity, body mass index (kg m‾2), etiology of hypothyroidism, thyroid antibodies, comorbidities, gestational diabetes mellitus (GDM), hypertension, mode of labor, pregnancy outcomes, postpartum hemorrhage and placental abruption etc. was recorded. Age group 18-25 years had 25, 26-33 years had 55 and 34-40 years had 30 subjects. Body mass index showed underweight 10, normal 18, overweight 45 and obese 37. Parity was nulliparous in 48 and multiparous in 62. Hypothyroidism was diagnosed in 35 during pregnancy. Etiology of hypothyroidism was autoimmune in 24 and post treatment in 11. Thyroid antibodies were positive in 20. Comorbidities were gestational diabetes mellitus in 12 and hypertension in 5. The difference was significant (p<0.05). Mode of labor was spontaneous in 17, augmented in 13 and induced in 5. Pregnancy outcomes was live birth in 28, abortion in 2, termination of pregnancy in 2 and stillbirth in 3. Postpartum hemorrhage was seen in 7 and placental abruption in 1. The difference was significant (p<0.05). There was high prevalence of hypothyroidism diagnosed during pregnancy. Comorbidities found gestational diabetes mellitus and hypertension. There was high prevalence of abortion, termination of pregnancy and stillbirth.
Rema V. Nair and R.V. Mookambika. Assessment of Maternal Characteristics and Outcomes Affected by Hypothyroidism During Pregnancy in a Teritiary Care Centre .
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.616.619
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.616.619