Comparative study of fetomaternal outcome using new screening criteria of serum TSH for diagnosing hypothyroidism in pregnancy
Objectives: To assess the maternal and fetal outcomes using new screening criteria with upper serum thyroid stimulating hormone (TSH) cut off as >3mIU/L, for diagnosing hypothyroidism in pregnancy. Materials and Methods: This study was a cross sectional study, carried out in the department of Obs...
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doaj-2e3444c4799542d483970e42ce3d5b262020-11-25T02:14:08ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422019-01-015212613010.21276/obgyn.2019.5.2.12Comparative study of fetomaternal outcome using new screening criteria of serum TSH for diagnosing hypothyroidism in pregnancyShiva Kumar H C Hiriyur Chidanandaiah0Chandrashekhar T Tharihalli1Suman Gaddi2Chandrashekhar K3Associate Professor, Department of Obstetrics and Gynaecology, Vijayanagara Institute of Medical Sciences ,Bellary, Karnataka, IndiaProfessor, Department of Obstetrics and Gynaecology, Vijayanagara Institute of Medical Sciences ,Bellary, Karnataka, IndiaProfessor and HOD, Vijayanagara Institute of Medical Sciences ,Bellary, Karnataka, IndiaAssistant Professor; Department of Obstetrics and Gynaecology, Vijayanagara Institute of Medical Sciences ,Bellary, Karnataka, IndiaObjectives: To assess the maternal and fetal outcomes using new screening criteria with upper serum thyroid stimulating hormone (TSH) cut off as >3mIU/L, for diagnosing hypothyroidism in pregnancy. Materials and Methods: This study was a cross sectional study, carried out in the department of Obstetrics and Gynaecology. During one year of study period from February 2016 to January 2017, pregnant women with ≤ 20 weeks gestation, attending antenatal OPD were included in the study and they were followed till delivery. On the basis of serum TSH level, women were divided into study group with serum TSH level between 3.1 to 6 mIU/L, (new range to be studied) and an equal number of ages and parity matched control group with serum TSH levels between 0.4 to 3 mIU/L. The maternal and fetal outcomes were compared between study and control groups. Results: During the study period, in study group 96 women had serum TSH between 3.1-6 mIU/L. Maternal and fetal outcomes in both the groups were comparable. Study did not find any difference in the rate of spontaneous abortion between women in study and control group [p > 0.99]. There was no significant difference in the maternal complications like preeclampsia, gestational diabetes and placental abruption in the study and control group. Vaginal delivery and caesarean section were similar in both the groups. Study shows no significant difference of foetal outcome in study and control group [p > 0.05]. Conclusion: As compared to pregnant women with serum TSH levels <3mIU/L, women with serum TSH levels between 3.1-6.0mIU/L had no significant adverse fetomaternal outcome.https://journal.barpetaogs.co.in/pdf/05126.pdfthyroid disordersscreening in pregnancyserum tshfetal outcome |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shiva Kumar H C Hiriyur Chidanandaiah Chandrashekhar T Tharihalli Suman Gaddi Chandrashekhar K |
spellingShingle |
Shiva Kumar H C Hiriyur Chidanandaiah Chandrashekhar T Tharihalli Suman Gaddi Chandrashekhar K Comparative study of fetomaternal outcome using new screening criteria of serum TSH for diagnosing hypothyroidism in pregnancy New Indian Journal of OBGYN thyroid disorders screening in pregnancy serum tsh fetal outcome |
author_facet |
Shiva Kumar H C Hiriyur Chidanandaiah Chandrashekhar T Tharihalli Suman Gaddi Chandrashekhar K |
author_sort |
Shiva Kumar H C Hiriyur Chidanandaiah |
title |
Comparative study of fetomaternal outcome using new screening criteria of serum TSH for diagnosing hypothyroidism in pregnancy |
title_short |
Comparative study of fetomaternal outcome using new screening criteria of serum TSH for diagnosing hypothyroidism in pregnancy |
title_full |
Comparative study of fetomaternal outcome using new screening criteria of serum TSH for diagnosing hypothyroidism in pregnancy |
title_fullStr |
Comparative study of fetomaternal outcome using new screening criteria of serum TSH for diagnosing hypothyroidism in pregnancy |
title_full_unstemmed |
Comparative study of fetomaternal outcome using new screening criteria of serum TSH for diagnosing hypothyroidism in pregnancy |
title_sort |
comparative study of fetomaternal outcome using new screening criteria of serum tsh for diagnosing hypothyroidism in pregnancy |
publisher |
Barpeta Obstetrics and Gynaecological Society |
series |
New Indian Journal of OBGYN |
issn |
2454-2334 2454-2342 |
publishDate |
2019-01-01 |
description |
Objectives: To assess the maternal and fetal outcomes using new screening criteria with upper serum thyroid stimulating hormone (TSH) cut off as >3mIU/L, for diagnosing hypothyroidism in pregnancy. Materials and Methods: This study was a cross sectional study, carried out in the department of Obstetrics and Gynaecology. During one year of study period from February 2016 to January 2017, pregnant women with ≤ 20 weeks gestation, attending antenatal OPD were included in the study and they were followed till delivery. On the basis of serum TSH level, women were divided into study group with serum TSH level between 3.1 to 6 mIU/L, (new range to be studied) and an equal number of ages and parity matched control group with serum TSH levels between 0.4 to 3 mIU/L. The maternal and fetal outcomes were compared between study and control groups. Results: During the study period, in study group 96 women had serum TSH between 3.1-6 mIU/L. Maternal and fetal outcomes in both the groups were comparable. Study did not find any difference in the rate of spontaneous abortion between women in study and control group [p > 0.99]. There was no significant difference in the maternal complications like preeclampsia, gestational diabetes and placental abruption in the study and control group. Vaginal delivery and caesarean section were similar in both the groups. Study shows no significant difference of foetal outcome in study and control group [p > 0.05]. Conclusion: As compared to pregnant women with serum TSH levels <3mIU/L, women with serum TSH levels between 3.1-6.0mIU/L had no significant adverse fetomaternal outcome. |
topic |
thyroid disorders screening in pregnancy serum tsh fetal outcome |
url |
https://journal.barpetaogs.co.in/pdf/05126.pdf |
work_keys_str_mv |
AT shivakumarhchiriyurchidanandaiah comparativestudyoffetomaternaloutcomeusingnewscreeningcriteriaofserumtshfordiagnosinghypothyroidisminpregnancy AT chandrashekharttharihalli comparativestudyoffetomaternaloutcomeusingnewscreeningcriteriaofserumtshfordiagnosinghypothyroidisminpregnancy AT sumangaddi comparativestudyoffetomaternaloutcomeusingnewscreeningcriteriaofserumtshfordiagnosinghypothyroidisminpregnancy AT chandrashekhark comparativestudyoffetomaternaloutcomeusingnewscreeningcriteriaofserumtshfordiagnosinghypothyroidisminpregnancy |
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