2014, Number 11
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Ginecol Obstet Mex 2014; 82 (11)
Prevalence of clinical and subclinical hypothyroidism during pregnancy in a pregnant women population
Cruz-Cruz EA, Ramírez-Torres A, Pimentel-Nieto D, Roque Sánchez AM
Language: Spanish
References: 16
Page: 717-724
PDF size: 313.19 Kb.
ABSTRACT
Objectives: To determine the prevalence of hypothyroidism during
pregnancy in a group of pregnant patients attending antenatal care at the National Institute of Perinatology and to meet cases not detected
by universal screening.
Materials and Methods: Was conducted from October 2012 to March
2013, in a group of pregnant patients attending to National Institute of
Perinatology, thyroid profile was performed according to the recommendations
of the American Thyroid Association. Patients were referred
to endocrinology consultation and treatment was started in case of
abnormal thyroid profile. We used central tendency and non-parametric
measures for description of the sample.
Results: The prevalence of thyroid disease in pregnancy was 33.9%
(n = 37), 12.8% (n = 14) with clinical hypothyroidism and 21.1%
(n = 23) subclinical hypothyroidism. The 87.1% (n = 95) of patients
reported at least one symptom or risk factor history for thyroid
disease, only 12.8% (n = 14), had no history or symptoms related to
thyroid disease. There is no relationship between a history or symptoms
reported and the presence of thyroid disease.
Conclusions: The prevalence of thyroid clinical and subclinical disease
is greater than that reported in the literature. There is not relationship
with each risk factor for thyroid disease. Perform universal screening
detects almost twice thyroid disease during pregnancy.
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