Thyroid hormone profile in apparently healthy pregnant women attending in a tertiary care hospital of Bangladesh

Authors

  • Murshed Ahamed Khan Department of Endocrinology, BSMMU
  • M.A. Hasanat Department of Endocrinology, BSMMU
  • Md. Jahangir Alam Department of Medicine, Shahid Ziaur Rahaman Medical College Hospital, Bogra
  • Md. Anwar Hossain Department of Biochemistry, Dinajpur Medical College
  • Ahmed Abu Saleh Department of Microbiology & Immunology, BSMMU
  • Md. Fariduddin Department of Endocrinology, BSMMU

DOI:

https://doi.org/10.3329/bsmmuj.v8i2.28928

Keywords:

Bangladesh, Pregnancy, Tertiary care hospital, Thyroid hormone

Abstract

Background: Thyroid dysfunction is not uncommon in pregnancy. It should be evaluated for better outcome of pregnancy.

Objective: To observe the thyroid hormone profile in apparently euthyroid pregnant women of any trimester. Methods: This cross-sectional study investigated 350 pregnant women irrespective of gestational age [(age 24±4, m±SDyr; 1st trimester = 101, 2nd trimester=111, 3rd trimester=138) for thyroid stimulating hormone (TSH) and for free thyroxine (FT4)] to assess their thyroid function during pregnancy following the criteria of American Thyroid Association (ATA).

Results: Most of the mothers were housewifes (93.1 %, 326/350) of whom 46.6% were primigravida. About 63% mother had associated goiter, 58% (204/350) were euthyroid and 41 % (142/350) were subclinical hypothyroid (SCH). Frequency of goiter (63% vs. 62%, euthyroid vs. dysfunction) was not significantly different between dysfunction and normal groups. FT4 significantly correlated with gestational age (r= - 0.131, p=0.014) and TSH level (r= - 0.612, p< 0.001).

Conclusion: It is concluded that many of the apparently euthyroid pregnant mother have dysfunction as defined by ATA reference ranges for TSH and FT4. Simple screening for thyroid function may have greater implication for better pregnancy outcome.

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Published

2016-07-26

How to Cite

Khan, M. A., Hasanat, M., Alam, M. J., Hossain, M. A., Saleh, A. A., & Fariduddin, M. (2016). Thyroid hormone profile in apparently healthy pregnant women attending in a tertiary care hospital of Bangladesh. Bangabandhu Sheikh Mujib Medical University Journal, 8(2), 91–94. https://doi.org/10.3329/bsmmuj.v8i2.28928

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Section

Original Articles