González-Velázquez A, Ávalos-Guerrero Á, Ramírez–Montiel ML, Rosales-Lucio J, Pichardo-Cuevas M, Contreras-Carreto NA

Language: Spanish
References: 12
Page: 11-16
PDF size: 108.08 Kb.

ABSTRACT

Introduction. Diabetes mellitus, thyroid diseases is the most common endocrine disorder in pregnant women, with an incidence of 5-10% of all pregnancies. The highest incidences are hyperthyroidism, hypothyroidism and thyroid nodular disease. Objective. Determine the incidence of thyroid disease in patients attending by the Maternal-Fetal Medicine Service of the Women’s Hospital, Ministry of Health, Mexico City. Material and methods. Observational, descriptive and retrospective study conducted in a sample of patients attending by our Maternal-Fetal Medicine Service during the period from January 1st, 2010 to December 31th, 2011. Results. Sample of 47 patients. Age 31.0 ± 6.70 years old. 72.3% (n = 34) hypothyroidism, 19.1% (n = 9), hyperthyroidism, 8.5% (n = 4) thyroid nodules with normal hormone levels. In hypothyroid patients, 82.35% (n = 28) was idiopathic hypothyroidism, 5.88% (n = 2) secondary to surgical ablation, 11.76% (n = 4) secondary to ablation with radioactive iodine. Graves’ disease was the cause of all cases of hyperthyroidism. The main complication of hypothyroidism in the 1st quarter was 5.88% threatened abortion (n = 2); 2nd quarter, preeclampsia 11.76% (n = 4); 3rd trimester, oligohydramnios 17.64% (n = 6). Hyperthyroidism, 1st quarter hyperemesis gravidarum 55.55% (n = 5); 2nd quarter, urinary tract infection 11.11% (n = 1); 3rd trimester, preeclampsia 22.22% (n = 7). Nodular thyroid disease without complications. Conclusion. Thyroid disease is one of the most common endocrine disorders of pregnancy. In our study, hypothyroidism was the leading cause of thyroid disorders, followed by hyperthyroidism and, thirdly thyroid nodules with normal hormone levels.

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