Risk factors for subclinical hypothyroidism in pregnant women in the 24 de Mayo canton, Ecuador

Subclinical hypothyroidism during pregnancy is characterized by an increase in TSH with normal levels of T3 and T4, which can lead to complications if not diagnosed in time. In Canton 24 de Mayo, Ecuador, the identification of this condition in pregnant women is affected by several risk factors. Among these factors are the lack of access to accessible diagnostic tests, the general lack of knowledge about thyroid diseases, and the lack of health education programs that adequately address the issue. Underdiagnosis is a critical problem in this area, mainly due to the absence of regular screening during prenatal control. This study highlights the urgent need to implement policies that improve access to thyroid testing and promote education on the importance of early diagnosis, especially in vulnerable populations such as pregnant women.