Survey of Hypothyroidism’prevalence in Pregnant Women in Fariman Health Centers in 1397
Publish place: 15th International Congress of Women and Obstetrics of Iran
Publish Year: 1398
نوع سند: مقاله کنفرانسی
زبان: English
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شناسه ملی سند علمی:
COBGY15_131
تاریخ نمایه سازی: 11 آبان 1398
Abstract:
Introduction: Many of women with thyroid abnormalities are unaware of their illness.Mothers with severe thyroid dysfunction have had infertility or frequent abortions,so diagnosis and treatment of this disease is very important in pregnancy.Method: In this cross-sectional study, information was extracted from the results of pregnant mothers forms from electronichealth files (SINA) the year 1397 and TSH greater than 3.9 was considered as hypothyroidism .Data were analyzed using Chi-Square and Fisher s exact test with SPSS statistical software.Result : From 2261 pregnant women, 206 of them had TSH greater than 3.9 (9.11%), which 36% were rural and 64% were urban .The mean age is 28 years old and 28-year-old mothers had the highest incidence. The lowest and the highest age were 13 and 47, respectively. 74.6% were housewives.%92 had no previous history of the disease. 24.28% had the first pregnancy and 31.8% had one child.2.6% have a history of stillbirth and 6.3% had a history of abortion (5.1% abortion and 1.1% twice and more).all women consumed iodized salt but the amount of fish consumptionwas different,78% less than once and just 9% four to five times a month.The results of the Chi-square test showed a significant difference between the number of abortions in mothers without hypothyroidism with mothers with this problem)p<0.00(.Of the 2,055 mother who have no problems with THS, 3% have abortions,while 23% hypothyroidism’smothers have abortions.There is also a significant difference between the number of stillbirths with the history of the hypothyroidism of the mother(p=0.04)mothers lacking a history of hypothyroidism,1% have a history of stillbirth, while 4% of mothers with a history of hypothyroidism have a history of stillbirth.Conclusion : tests of thyroid function, especially TSH, should be carefully monitored during pregnancy and Considering the relationship between the consumption of fish and hypothyroidism, culture-building on the use of fish and marine products should be one of the priorities of health education.
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Authors
Toktam Forghani
۱.Master of Science in Sociology, Fariman Health Office, Mashhad University of Medical Sciences,Iran
Mohammad Reza Ghahhar
Master of Health Education , Fariman Health Office, Mashhad University of Medical Sciences,Iran
Mahdi Mashouf
Bachelor of Laboratory science, Fariman Health Office, Mashhad University of Medical sciences, Fariman, Iran
Maryam Pourzanjani
Ms.C of Midwifery, Fariman Health Office, Mashhad University of Medical sciences, Fariman, Iran