The Fetomaternal Outcome of Pregnancy in Women with Thyroid Disease

OBJECTIVES To determine the frequency of fetomaternal outcomes in women with pregnancy with thyroid disease presented to Khyber Teaching Hospital Peshawar. METHODOLOGY A descriptive observational study was conducted in Khyber’s Obstetrics and Gynecology Department Teaching Hospital Peshawar from February to July 2022. A total of 160 pregnant patients with thyroid disease were included in the study. All patients were followed till delivery, and fetomaternal outcomes (gestational hypertension, pre-eclampsia, postpartum hemorrhage, mode of delivery, Oligohydramnios, birth weight, neonatal hyperbilirubinemia) were noted. RESULTSThe age range in this study was from 18 to 40 years with a mean age of 29.787 +2.23 years, mean gestational age of 25.331+4.14 weeks, mean parity of 1.818+1.23 and mean weight of 68.462+3.30 kg. Hypothyroidism was seen in 76.9% of patients, and hyperthyroidism was seen in 23.1%. Gestational hypertension was observed in 11.9%, pre-eclampsia in 5%, postpartum haemorrhage in 47.5%, the cesarean section in 27.5%, Oligohydramnios in 11.3%, low birth weight in 21.3% and neonatal hyperbilirubinemia in 10.6%. CONCLUSION The most frequent complication observed in pregnancy with thyroid disease was postpartum haemorrhage, followed by cesarean section and low birth weight.