Evaluation of the Outcomes of Hypothyroidism in Pregnant Women

Abstract

Background: Hypothyroidism may also affect the safety of pregnancy and the health of the fetus, such as the occurrence of miscarriage, premature birth, the effect on the mental development of the fetus, and high blood pressure during pregnancy. Based on previous studies, changes in thyroid function are more common in women, with some considering a 10:1 ratio compared to men. Within it, hypothyroidism occurs at a rate of 0.5-2.5% of all pregnancies, while subclinical hypothyroidism has a prevalence of 2-2. 5% in pregnant women. Between 5-9% of patients develop thyroid disease after birth. Objective: This study aims to Evaluate of the outcomes of hypothyroidism in pregnant women. Patients and Methods: A descriptive cross-sectional study was conducted for the evaluation of the outcomes of hypothyroidism in pregnant women from 4^th February 2020 to 8^th October 2021. this study was applied to 90 patients in different hospitals in Iraq. In this study, the patients were divided into two groups; the first was hypothyroidism which included 50 patients, while the second group included the control, which included 40 patients by using the SPSS program. Results and Discussion: The results of the study showed a convergence between control patients in terms of age, where the highest percentage was set for ages between 25-34. This study showed an increase in BMI, where the cases were identified as 35 ± 2.5 for patients and 28 ± 3.1 for control with a p-value of 0.0486. According to the economic level, our study showed that most of the patients were from the middle class and included 22 (44%) for patients, and 19 (47.5%) for control, with a p-value of 0.0431. In addition, An assessment was made for pregnant women with hypothyroidism and control, which included percentage and frequency, and the Apgar rating score did not show a wide difference between patients and control. Conclusion: In this study, we identified a statistically significant association between the incidence of problems in pregnant women with hypothyroidism, with a weak correlation between the control group and the frequency of difficulties. In the first group, a high association with the occurrence of complications was discovered, less than or equal to 0.05