Abstract

During pregnancy, thyroid issues are common. A straightforward pregnancy and good foetal growth and development depend on the availability of thyroid hormone. A wide range of obstetric and child development outcomes are linked to overt hypothyroidism. More research is now showing a link between thyroid dysfunction, even in milder forms, and poor pregnancy outcomes. The risk of difficulties for both the mother and the foetus is reduced with adequate, early treatment and maintenance of a normal level of thyroid hormones, making it possible to carry the pregnancy to term without serious complications. Methods: The current study is a case-control investigation carried out on 100 pregnant patients of the obstetric outpatient department of the government general hospital. Kurnool. Thyroid-stimulating hormone (TSH) testing was carried out in addition to regular obstetrical examinations at the first antenatal visit. Patients were followed up till delivery after levothyroxine treatment. Results: Among cases, 46% had hypothyroidism prior to pregnancy and 44% were newly diagnosed. 32% of cases had subclinical hypothyroidism. Common adverse maternal outcomes were anemia (58%), Pregnancy induced hypertension, preterm labour, (24%), and an increased need for a caesarian section (36%). Conclusions: Overall, maternal and foetal complications were higher in patients with hypothyroidism. Levothyroxine treatment decreased the risk of maternal and foetal outcomes.

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