Published July 30, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue7,Article34.pdf
Journal article Open

Assessment of Thyroid Dysfunction in Women with Normal Vs Preeclampsia Pregnancy: A Case Control Study

  • 1. Associate Professor, Department of Obstetrics and Gynecology, MNR Medical College and Hospital, Sangareddy, Telangana, India
  • 2. Associate Professor, Department of General Medicine, MNR Medical College and Hospital, Sangareddy, Telangana, India

Description

Introduction: Thyroid dysfunction has impending effect during pregnancy on both the mother and the fetus. Preeclampsia is a possible pregnancy-related complication in women with hypothyroidism. Th present study was aimed to assess the prevalence of hypothyroidism in the women with preeclampsia. Material and Methods: A total of 94 cases with preeclampsia between 18-35 years and age and gestational age matched control subjects belonged to >20 weeks were recruited. 5 ml of peripheral venous blood was collected to analyse free T3, free T4 and TSH levels. Results: The prevalence of hypothyroidism was 40.43% in women with preeclampsia. The TSH levels were comparatively high in women with severe preeclampsia than mild preeclampsia and levels of FT3, FT4 and TSH were comparatively high in preeclamptic women with >34 weeks of gestation. The number of antihypertensive drugs intake was significantly reduced after delivery in women with preeclampsia. Conclusion: Hypothyroidism was substantially correlated with the severity of preeclampsia. Women with conditions including obesity, diabetes, hypertension, and TSH should keep track of their levels regularly to prevent hypothyroidism, which can cause preeclampsia and have an effect on both the mother and the foetal outcome.

 

 

Abstract (English)

Introduction: Thyroid dysfunction has impending effect during pregnancy on both the mother and the fetus. Preeclampsia is a possible pregnancy-related complication in women with hypothyroidism. Th present study was aimed to assess the prevalence of hypothyroidism in the women with preeclampsia. Material and Methods: A total of 94 cases with preeclampsia between 18-35 years and age and gestational age matched control subjects belonged to >20 weeks were recruited. 5 ml of peripheral venous blood was collected to analyse free T3, free T4 and TSH levels. Results: The prevalence of hypothyroidism was 40.43% in women with preeclampsia. The TSH levels were comparatively high in women with severe preeclampsia than mild preeclampsia and levels of FT3, FT4 and TSH were comparatively high in preeclamptic women with >34 weeks of gestation. The number of antihypertensive drugs intake was significantly reduced after delivery in women with preeclampsia. Conclusion: Hypothyroidism was substantially correlated with the severity of preeclampsia. Women with conditions including obesity, diabetes, hypertension, and TSH should keep track of their levels regularly to prevent hypothyroidism, which can cause preeclampsia and have an effect on both the mother and the foetal outcome.

 

 

Files

IJPCR,Vol15,Issue7,Article34.pdf

Files (576.4 kB)

Name Size Download all
md5:a2b77fcce5b47a340880f011996ae359
576.4 kB Preview Download

Additional details

Dates

Accepted
2023-05-30

References

  • 1. Jagtap NV. Prevalence and impact of thyroid disorders on maternal outcome in Asian-Indian pregnant women. J Thyroid Res. 2011; 2011:429097. 2. Sahu MT, Das V. Overt and subclinical thyroid dysfunction among Indian pregnant women and its effect on maternal and foetal outcome. Arch Gynecol Obstet. 2010; 281:215-20. 3. Weinstein L. Syndrome of haemolysis, elevated liver enzymes, and low platelet count. A severe consequence of hypertension in Pregnancy. 1982. Am J Obstet Gynecol 2005; 193:860-863. 4. Rajalakshmi V, Anitha VK. Study on prevalence of hypothyroidism in women with preeclampsia. Indian journal of research. 2016;5(8):45-47. 5. Sadek A, et al. Serum vitamin D3 levels in pregnant women with preeclampsia at third trimester of pregnancy. Baghdad J Biochem Appl Biol Sci. 2021;2(03):131–7. 6. Chowdhary S, et al. Thyroid Function Tests in Preeclampsia. Int J Med Sci Clin Invention. 2018;5(03):3606–9. 7. Saki F, et al. Thyroid function in pregnancy and its influences on maternal and fetal outcomes. Int J Endocrinol Metab. 2014;12(4):e19378. 8. Sadiq AM, et al. Subclinical hypothyroidism with preeclampsia. Res J Pharm Biol Chem Sci. 2016;7(3):1536–44. 9. Thanna RC, Nigoskar S. Association of TSH (Thyroid Stimulating Hormone) with Preeclampsia as a Diagnostic Indicator. Int J Health Sci Res. 2015;5(6):107–10. 10. Khadem N, et al. Comparison of serum levels of Tri-iodothyronine (T3), Thyroxine (T4), and Thyroid-Stimulating Hormone (TSH) in preclampsia and normal pregnancy. Iran J Reprod Med. 2012;10(1):47–52. 11. Alexander EK, et al. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid. 2017;27(3):315–89. 12. Harshvardhan L, Dariya SS, Aradhana S, Lalita V. Study of association of thyroid hormone in pre-eclampsia and normal pregnancy. Journal of the Association of Physicians of India – JAPI.2017;65:1-4. 13. Muraleedharan N, Beegum MS. Association between Serum Albumin and Hypothyroidism in Preeclampsia: A Case-control Study. J Clin Diagn Res. 2021;15(6):BC26–30. 14. Patil N. Evaluation of thyroid function test in severity of preeclampsia. MedPulse Int J Biochem. 2020;16(3):29–35. 15. Kumar M, et al. Thyroid hormones: As biomarker of preeclampsia and an influencer in outcome of pregnancy. Int J Appl Res. 2020;6(3):01–3.16. Misra M, et al. Comparative analysis of serum calcium level and thyroid profile in pregnant normotensive and preeclamptic women: a casecontrol study. J Clin Diagn Res. 2020;14(5):BC05–9 17. Abdallatief A-S, et al. Comparison of thyroid hormones level in normal and preeclamptic pregnancy. Sohag Med J. 2019;24(1):26–32. 18. Prashanthi B, Himaja J, Himaja J. A Comparative Study of Thyroid Hormone Levels in Severe and Mild Pre-Eclmaptic Women and Normal Pregnant Women. Int J Pharm Biolog Sci. 2019;9(3):1097–103. 19. Murmu AK, et al. Correlation of Hypothyroidism with Pregnancy Outcome in Preeclampsia. OSR-JDMS. 2018;17(4):72–8. 20. Sattar R, Ahmed E, Abbasi SQ. Thyroid Hormones Pattern in Preeclampsia. Ann King Edward Med Univ Lahore Pakistan. 2018;24:863–6. 21. Haldar R, et al. Correlation Between Maternal Serum Thyroid Profile And Preeclampsia At or Above 36 wks Gestation A Prospective Comparative Observational Study. IOSR J Dental Med Sci. 2017;16(3):41–5. 22. Muraleedharan N, Janardhanan J. Thyroid hormone status in preeclampsia patients: A case-control study. Muller J Med Sci Res. 2017;8(2):68–68. 23. Jain P, Devi R. Thyroid hormonal status in pregnancy and pre-eclampsia and its correlation with maternal age and parity. Int J Basic Appl Med Sci. 2017;7(1):1–7. 24. Marwa AM, Haddad NI, Hussein EA. Correlations of Serum Vitamin D and Thyroid Hormones with Other Biochemical Parameters in Iraqi Pregnant Women with Preeclampsia Disease. J Glob Pharma Technol. 2019;11(2):441–50. 25. Tariq J, Aslam M, Zaidi YA. Frequency of altered thyroid hormone in cases of preeclampsia. Int J Adv Biotechnol Res. 2018;9(4):523–6. 26. Chaudhary RR, Muddeshwar M. A study of thyroid profile and serum albumin in preeclampsia women. Int J Cur Res Rev| Vol. 2016;8(23):11. 27. Ban-Amer M. Detection of Relationship between Maternal Thyroid Hormones and Severity of Preeclampsia. Int J Med Res Health Sci. 2018;7(9):127–31. 28. Rani SU, Arumaikannu J, Shanthi S. Hypothyroidism as a bio marker of preeclampsia: Our experience. Int J Clin Obstetr Gynaecol. 2018;2(1):69–71. 29. Hajifoghaha, Mahboubeh et al. "Association of thyroid function test abnormalities with preeclampsia: a systematic review and metaanalysis. BMC endocrine disorders. 2022; 22(240):1-19. 30. Tabassum Ali, Abroo Bahadur, Bushra Bashir, Tariq Hassan, Benish Ishaq, Muhammad Qasim. Prevalence of hypothyroidism in pregnancies and its obstetric outcomes. PJMHS. 2022;16(03):1184-1186. 31. Aino Lintula, Leea Keski-Nisula & Heidi Sahlman. Hypothyroidism and the increased risk of preeclampsia – interpretative factors? Hypertension in Pregnancy. 2020;39(4): 411- 417.