Abstract

Thyroid dysfunction in pregnancy is one of the most prominent endocrinological disorders after diabetes mellitus. Physiological changes in thyroid status and non-adaptation to these changes during pregnancy leads to imbalance in thyroid hormones. Aim & Objective: To study the maternal and foetal outcome. To reduce maternal and fetal complications by evaluating TSH,T3,T4. Materials and Methods: A Prospective Study conducted on pregnant women with thyroid dysfunction. Data of maternal and fetal out come collected. Results:100 pregnant women with thyroid dysfunction during the study.95 had high TSH and 5 low TSH. Mean maternal age was 25.89 years. 43% Primi gravida and 57 % multigravida.64% of hypothyroid pregnant women are overweight and obese.52% had previous history of thyroid dysfunction. The mean gestational age of delivery was 37.5 weeks, spontaneous vaginal birth 46%, assisted vaginal delivery 2% ,LSCS 52% Outcome of pregnancy in thyroid dysfunction was pre-eclampsia 20% abruptio placenta 6% gestational diabetes mellitus 6% abortion 3% oligohydramnios 13% IUGR 23.8% preterm delivery 47%. Foetal outcome low birthweight 37%, foetal distress 31.7%, NICU admissions 12.9%, stillbirth 5%, and neonatal death 5.9%. Conclusion: Universal screening for thyroid disorders is recommended for all women in the pre-conception period or in early pregnancy. Early diagnosis and treatment with regular followup to ensure favourable maternal and foetal outcomes

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