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Home > Archives > Volume 20, No 11 (2022) > Article

DOI: 10.14704/nq.2022.20.11.NQ66171

Prevalence and Outcome of Thyroid Diseases in Pregnancy among Sample of Iraqi Pregnant Women

Dr. Naznaz J.Nooraldeen, Prof. Dr. Nabila K.Yaqoub

Abstract

Pregnancy is a time of complex hormonal changes. Thyroid disorders constitute one of the most common endocrine disorders seen in pregnancy, and understanding of changes in thyroid function and the consequences of thyroid disease during pregnancy has rapidly grown in the past two decades.The current study aimed to estimate the impact of thyroid disorder on pregnancy outcomes. The objectives were the calculation of the prevalence and main types of thyroid diseases among pregnant women and to find out the main maternal and fetal complications of thyroid disorder during pregnancy.A cross-sectional studywas conducted in Salahadeen General Hospital /Gynecology and Obstetrics department during the period from 1st of January to 30th of June 2022. A convenient sample of 100 women in the first trimester of pregnancy. Inclusion criteria included singleton pregnancy and pregnant women with age 18-40 years old.The results of the current study revealed that the prevalence of thyroid disease among pregnant women was 20%. Those with subclinical hypothyroid disease (12%) followed by overt hypothyroid disease (6%), and subclinical hypothyroid (2%). There was a significant association between thyroid diseases during pregnancy and the age of the participants. There was a significant association between thyroid diseases during pregnancy and family history of thyroid disease, BMI, and previous infertility. There was a significant association between thyroid diseases during pregnancy and anaemia, gestational diabetes, and preterm labour. In conclusion, about one-fifth of the pregnant women had thyroid disorder during pregnancy, and subclinical hypothyroid was the commonest disorder. There was a significant association between the prevalence of thyroid disease and anaemia, gestational diabetes, and preterm labour.

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