Title: Fetal and Neonatal Outcome in Thyroid Dysfunction
Authors: Dr Manju VK, Dr Sathiamma PK
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.202
Abstract
Objective: To study the fetal and neonatal outcome in antenatal women presenting with thyroid disorders.
Methods: This descriptive study was done in 449 pregnant women with different types of thyroid disorders who attended Department of Obstetrics and Gynecology in a tertiary care centre, Kerala during a period of 18 months from January 2014 to June 2015 with an aim to study outcome of pregnancy regarding the fetus and the neonate postnatally.
Results: Subclinical hypothyroidism (SCH) was the common dysfunction found in this study. Common fetal complications were fetal growth restriction, meconium stained amniotic fluid, premature membrane rupture, fetal distress and growth restriction with oligamnios. Overt hypothyroidism had higher percentage of complications and increase in the percentage of fetal demise was also found in overt hypothyroidism. The major neonatal complications observed were neonatal jaundice and transient tachypnoea of new born.
Conclusion: All pregnant women should be screened for thyroid dysfunction during first antenatal visit itself by doing a thyroid function test so that early diagnosis and treatment can be given by which adverse pregnancy outcome regarding fetus can be reduced to some extent.
Keywords: Thyroid dysfunction, fetal outcome, Apgar scoring, neonatal complications.
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