E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Detection of thyroid dysfunction in pregnancy high risk versus universal screening: our experience

Aaliya Tabasum, Babar Rashid Zargar, Heena Masrat.

Abstract
Background: Thyroid dysfunction is common in women of childbearing age. It can result in substantial adverse maternal, fetal and neonatal complications if left undiagnosed and untreated.
Objective: As J&K falls in the Himalayan goiter belt, one of the world's biggest goiter belt, the objective of this study was to determine the prevalence of thyroid disorders during pregnancy and to compare the efficacy of high risk versus universal screening for thyroid disorders during early pregnancy.
Methodology: This prospective observational study was conducted on 290 pregnant women in first trimester attending outpatient department of a tertiary care center .Women were divided into low risk and high risk group. Both groups were subjected to thyroid function tests (TSH,T3,T4) and subjects with altered tests were further tested for thyroid antibodies. Results from both groups were compared.
Results: Baseline characteristics of pregnant women in both groups were comparable. Overall percentage of women with thyroid dysfunction was 6.2%.Percentage of women with thyroid dysfunction in low risk women was 3% and that in high risk group was12.5%. This difference is statistically significant (12.5% versus 3%; relative risk (RR) 2.6; 95% confidence interval (CI)5.50-18.50;p value=0.004).
Conclusion: Based on our study we conclude that there is need of universal screening for thyroid dysfunction in pregnancy. Testing only high risk women would miss about one-third of pregnant women with thyroid disorders and when possible adverse fetomaternal outcomes are so significant and tools to diagnose and intervene are easily available, leaving maternal disease undiagnosed even in one-third pregnant women is no longer tolerable.

Key words: Thyroid dysfunction, early pregnancy, screening


 
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How to Cite this Article
Pubmed Style

Tabasum A, Zargar BR, Masrat H. Detection of thyroid dysfunction in pregnancy high risk versus universal screening: our experience. Int J Surg Med. 2022; 8(6): 18-22. doi:10.5455/ijsm.136-1643914386


Web Style

Tabasum A, Zargar BR, Masrat H. Detection of thyroid dysfunction in pregnancy high risk versus universal screening: our experience. https://www.ejos.org/?mno=26008 [Access: January 11, 2023]. doi:10.5455/ijsm.136-1643914386


AMA (American Medical Association) Style

Tabasum A, Zargar BR, Masrat H. Detection of thyroid dysfunction in pregnancy high risk versus universal screening: our experience. Int J Surg Med. 2022; 8(6): 18-22. doi:10.5455/ijsm.136-1643914386



Vancouver/ICMJE Style

Tabasum A, Zargar BR, Masrat H. Detection of thyroid dysfunction in pregnancy high risk versus universal screening: our experience. Int J Surg Med. (2022), [cited January 11, 2023]; 8(6): 18-22. doi:10.5455/ijsm.136-1643914386



Harvard Style

Tabasum, A., Zargar, . B. R. & Masrat, . H. (2022) Detection of thyroid dysfunction in pregnancy high risk versus universal screening: our experience. Int J Surg Med, 8 (6), 18-22. doi:10.5455/ijsm.136-1643914386



Turabian Style

Tabasum, Aaliya, Babar Rashid Zargar, and Heena Masrat. 2022. Detection of thyroid dysfunction in pregnancy high risk versus universal screening: our experience. International Journal of Surgery and Medicine, 8 (6), 18-22. doi:10.5455/ijsm.136-1643914386



Chicago Style

Tabasum, Aaliya, Babar Rashid Zargar, and Heena Masrat. "Detection of thyroid dysfunction in pregnancy high risk versus universal screening: our experience." International Journal of Surgery and Medicine 8 (2022), 18-22. doi:10.5455/ijsm.136-1643914386



MLA (The Modern Language Association) Style

Tabasum, Aaliya, Babar Rashid Zargar, and Heena Masrat. "Detection of thyroid dysfunction in pregnancy high risk versus universal screening: our experience." International Journal of Surgery and Medicine 8.6 (2022), 18-22. Print. doi:10.5455/ijsm.136-1643914386



APA (American Psychological Association) Style

Tabasum, A., Zargar, . B. R. & Masrat, . H. (2022) Detection of thyroid dysfunction in pregnancy high risk versus universal screening: our experience. International Journal of Surgery and Medicine, 8 (6), 18-22. doi:10.5455/ijsm.136-1643914386