A Randomized Prospective Trial To Study The Impact Of Thyroid Disorders On Fetomaternal Outcome

ABSTRACT

Objectives: To study the prevalence, maternal and fetal outcome in thyroid disorders in pregnancy. Methods: The study was conducted in the department of Obstetrics and Gynaecology, S.P. Medical College and Associated Group of Hospitals, Bikaner. This was an observational and prospective study conducted on 969 antenatal women attending OPD in first trimester from 1st October 2017 to 30th September 2018. Results: Majority of subjects 86.5% (n=838) were euthyroid, 0.6% (n=6) subjects were hyperthyroid and all were subclinical hyperthyroid, 2.2% (n=21) subjects were overt hypothyroid & 10.7% (n=104) subjects were subclinical hypothyroid. Conclusion: Hyperthyroidism in pregnancy is uncommon, effects on both the mother and fetus are critical. Due to immense impact of the maternal thyroid disorder on maternal and fetal outcome, prompt identification of thyroid disorder and timely initiation of treatment is essential.