Publication:
Assessment of Thyroid Dysfunction During Different Trimester of Pregnancy

creativeworkseries.issn1999-6217
dc.contributor.authorPrajapati, Sunita
dc.contributor.authorPrajapati, Gayatri
dc.contributor.authorShrestha, Vikram
dc.contributor.authorShrestha, Sujata
dc.date.accessioned2025-08-05T05:40:52Z
dc.date.available2025-08-05T05:40:52Z
dc.date.issued2022
dc.descriptionSunita Prajapati Patan Hospital, Patan Academy of Health science, Lalitpur, Nepal Gayatri Prajapati Department of Pathology, Civil Hospital, Baneshwor, Nepal Vikram Shrestha Janamaitri Foundation of Health Science, Kathmandu, Nepal Sujata Shrestha Department of laboratory, Central Jail Hospital, Tripureswor, Nepal https://orcid.org/0000-0002-3521-2279
dc.description.abstractAbstract Background: Thyroid dysfunction is frequently seen in pregnant women and is associated with complications like miscarriage, gestational hypertension, placental abruption, pre mature delivery and fetal growth retardation and even causes impaired neuropsychological development of fetus. This study is carried out to assess the prevalence of thyroid disorder during different trimester of pregnancy. Methods: Serum samples were collected from 124 pregnant women attending Patan Academy of Health Science for ante natal visit. Free thyroxine free triiodothyronine and thyroid stimulating hormone were performed by chemiluminescent assay. Results: Out of 124 pregnant women, euthyroidism was seen in 79% (n =98) followed by subclinical hypothyroidism (10%, n=13) and primary hypothyroidism (8%, n=10). Subclinical hyperthyroidism and primary hyperthyroidism accounts for 1% (n=1), and 2% (n=2) respectively. Although, thyroid disorder was found to be more prevalent in third trimester (38.4%, n=10) but the distribution in first and second trimester (34.6%, n= 9, 27%, n= 7 respectively) were also significant. Mean fT3 and fT4 level were found to be negatively correlated with trimester (r=-0.19, p=0.027 and r=-0.29, p=0.001 respectively) whereas positive correlation of trimester was seen with TSH (r=0.08, p=0.35). Conclusions: Hypothyroidism is more common in pregnant women visiting tertiary care hospital. Different complication can be minimized if diagnosis is done early. Keywords: Hypothyroidism; pregnant; thyroid stimulating hormone; trimester, gestational week
dc.identifierhttps://doi.org/10.33314/jnhrc.v20i4.3712
dc.identifier.urihttps://hdl.handle.net/20.500.14572/1240
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titleAssessment of Thyroid Dysfunction During Different Trimester of Pregnancy
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage833
oaire.citation.startPage830
relation.isJournalIssueOfPublicationbab336f9-a344-4947-87ff-8532a3808cc5
relation.isJournalIssueOfPublication.latestForDiscoverybab336f9-a344-4947-87ff-8532a3808cc5
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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