Relationship between thyroid disorder and iron deficiency anaemia in pregnancy

Background: Thyroid disorders and iron deficiency (ID) are associated with obstetrical and fetal complications. Iron is essential for the normal functioning of thyroid peroxidase (TPO-abs) and ID is frequent during pregnancy. Objective: The present study was undertaken to see the relationship betwee...

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Main Authors: Mili D. Chowdhury, S.S. Ghose, Abhish Mohan
Format: Article
Language:English
Published: Barpeta Obstetrics and Gynaecological Society 2021-01-01
Series:New Indian Journal of OBGYN
Subjects:
Online Access:https://journal.barpetaogs.co.in/pdf/07163.pdf
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author Mili D. Chowdhury
S.S. Ghose
Abhish Mohan
author_facet Mili D. Chowdhury
S.S. Ghose
Abhish Mohan
author_sort Mili D. Chowdhury
collection DOAJ
description Background: Thyroid disorders and iron deficiency (ID) are associated with obstetrical and fetal complications. Iron is essential for the normal functioning of thyroid peroxidase (TPO-abs) and ID is frequent during pregnancy. Objective: The present study was undertaken to see the relationship between iron deficiency anaemia and thyroid disorder in antenatal cases. Methods: A total of 100 cases attending the outpatient department of Obstetrics and Gynecology in their 1st trimester (from LMP to 12 weeks) were studied at Naval Hospital Powai during a period from Jan 2016 to Dec 2017. A detailed clinical and obstetric history was taken and patients were subjected to routine antenatal investigations along with thyroid profile. Results: Among 100 cases, 21 antenatal cases had increased TSH. Out of which 4 cases had overt hypothyroidism and 17 cases had subclinical hypothyroidism. 2 cases had decreased thyroid stimulating hormone in early trimester out of which only 1 had overt hyperthyroidism. In the same study 23 cases had mild iron deficiency anaemia and 4 had moderate anaemia. It was later correlated that out of 27 cases with anaemia 14 had hypothyroidism. 51% of the cases with anaemia had hypothyroidism and 60% of the hypothyroid cases had iron deficiency anaemia. Applying regression analysis between TSH and Hb level, there was a positive correlation between these two factors in cases. r2 value was found to be 0.2871. This was statistically significant with a P value of less than 0.005. Conclusion: It is concluded that there is increased prevalence of thyroid disorders and iron deficiency anaemia in antenatal cases and there is relationship between iron deficiency anaemia and hypothyroid cases.
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spelling doaj.art-213753569d404edcb71b3f75824ddd8d2022-12-21T23:26:30ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422021-01-017216316710.21276/obgyn.2021.7.2.10Relationship between thyroid disorder and iron deficiency anaemia in pregnancyMili D. Chowdhury0S.S. Ghose1Abhish Mohan2Graded specialist, Department of Obstetrics & Gynaecology, Naval Hospital Powai, Mumbai, Maharashtra, IndiaClassified specialist, Department of Surgery, Naval Hospital Powai, Mumbai, Maharashtra, IndiaGraded specialist, Department of Medicine, Naval Hospital Powai, Mumbai, Maharashtra, IndiaBackground: Thyroid disorders and iron deficiency (ID) are associated with obstetrical and fetal complications. Iron is essential for the normal functioning of thyroid peroxidase (TPO-abs) and ID is frequent during pregnancy. Objective: The present study was undertaken to see the relationship between iron deficiency anaemia and thyroid disorder in antenatal cases. Methods: A total of 100 cases attending the outpatient department of Obstetrics and Gynecology in their 1st trimester (from LMP to 12 weeks) were studied at Naval Hospital Powai during a period from Jan 2016 to Dec 2017. A detailed clinical and obstetric history was taken and patients were subjected to routine antenatal investigations along with thyroid profile. Results: Among 100 cases, 21 antenatal cases had increased TSH. Out of which 4 cases had overt hypothyroidism and 17 cases had subclinical hypothyroidism. 2 cases had decreased thyroid stimulating hormone in early trimester out of which only 1 had overt hyperthyroidism. In the same study 23 cases had mild iron deficiency anaemia and 4 had moderate anaemia. It was later correlated that out of 27 cases with anaemia 14 had hypothyroidism. 51% of the cases with anaemia had hypothyroidism and 60% of the hypothyroid cases had iron deficiency anaemia. Applying regression analysis between TSH and Hb level, there was a positive correlation between these two factors in cases. r2 value was found to be 0.2871. This was statistically significant with a P value of less than 0.005. Conclusion: It is concluded that there is increased prevalence of thyroid disorders and iron deficiency anaemia in antenatal cases and there is relationship between iron deficiency anaemia and hypothyroid cases.https://journal.barpetaogs.co.in/pdf/07163.pdfthyroid disordersironantenatalanaemiahypothyroidism
spellingShingle Mili D. Chowdhury
S.S. Ghose
Abhish Mohan
Relationship between thyroid disorder and iron deficiency anaemia in pregnancy
New Indian Journal of OBGYN
thyroid disorders
iron
antenatal
anaemia
hypothyroidism
title Relationship between thyroid disorder and iron deficiency anaemia in pregnancy
title_full Relationship between thyroid disorder and iron deficiency anaemia in pregnancy
title_fullStr Relationship between thyroid disorder and iron deficiency anaemia in pregnancy
title_full_unstemmed Relationship between thyroid disorder and iron deficiency anaemia in pregnancy
title_short Relationship between thyroid disorder and iron deficiency anaemia in pregnancy
title_sort relationship between thyroid disorder and iron deficiency anaemia in pregnancy
topic thyroid disorders
iron
antenatal
anaemia
hypothyroidism
url https://journal.barpetaogs.co.in/pdf/07163.pdf
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