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Prevalence of subclinical hypothyroidism in pregnancy in Saudi Arabia

OBJECTIVES: To estimate the prevalence of subclinical hypothyroidism (SCH) in Saudi Arabia and assess the need for an SCH screening program. METHODS: This cross-sectional study was conducted at King Abdulaziz Medical City and the Khashmulaan Clinic at the National Guard Health Affairs, Riyadh, Saudi...

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Autores principales: Al Shanqeeti, Shatha A., Alkhudairy, Yasser N., Alabdulwahed, Alwaleed A., Ahmed, Anwar E., Al-Adham, Maysoon S., Mahmood, Naveed M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Saudi Medical Journal 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893914/
https://www.ncbi.nlm.nih.gov/pubmed/29543303
http://dx.doi.org/10.15537/smj.2018.3.21621
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author Al Shanqeeti, Shatha A.
Alkhudairy, Yasser N.
Alabdulwahed, Alwaleed A.
Ahmed, Anwar E.
Al-Adham, Maysoon S.
Mahmood, Naveed M.
author_facet Al Shanqeeti, Shatha A.
Alkhudairy, Yasser N.
Alabdulwahed, Alwaleed A.
Ahmed, Anwar E.
Al-Adham, Maysoon S.
Mahmood, Naveed M.
author_sort Al Shanqeeti, Shatha A.
collection PubMed
description OBJECTIVES: To estimate the prevalence of subclinical hypothyroidism (SCH) in Saudi Arabia and assess the need for an SCH screening program. METHODS: This cross-sectional study was conducted at King Abdulaziz Medical City and the Khashmulaan Clinic at the National Guard Health Affairs, Riyadh, Saudi Arabia in August 2016. All women attending the antenatal clinics were invited to participate in the study. In addition, data were retrieved from the files of pregnant women who had been screened for hypothyroidism from January 2016 to August 2016. A total of 384 pregnant women were included in the study. RESULTS: The prevalence of SCH in pregnant women in this study was 50/384 (13%) with 95% confidence intervals (CIs): 9.82%-16.80%. Pregnant women who were randomly screened using a survey (n=127) were 3 times more likely (OR: 3.1; 95% CI: 1.182 to 8.704, p=0.022) to have SCH compared to pregnant women who were screened based on their physician’s judgement (n=257). Results showed older age (≥40 years) was associated with an insignificant decrease in the risk of SCH. CONCLUSION: Random screening for SCH in pregnant women showed a higher prevalence in comparison to women who were screened as a result of physician referrals. The results highlight the urgent need for larger studies to investigate the prevalence of SCH as well as the need for an SCH screening program.
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spelling pubmed-58939142018-04-16 Prevalence of subclinical hypothyroidism in pregnancy in Saudi Arabia Al Shanqeeti, Shatha A. Alkhudairy, Yasser N. Alabdulwahed, Alwaleed A. Ahmed, Anwar E. Al-Adham, Maysoon S. Mahmood, Naveed M. Saudi Med J Original Article OBJECTIVES: To estimate the prevalence of subclinical hypothyroidism (SCH) in Saudi Arabia and assess the need for an SCH screening program. METHODS: This cross-sectional study was conducted at King Abdulaziz Medical City and the Khashmulaan Clinic at the National Guard Health Affairs, Riyadh, Saudi Arabia in August 2016. All women attending the antenatal clinics were invited to participate in the study. In addition, data were retrieved from the files of pregnant women who had been screened for hypothyroidism from January 2016 to August 2016. A total of 384 pregnant women were included in the study. RESULTS: The prevalence of SCH in pregnant women in this study was 50/384 (13%) with 95% confidence intervals (CIs): 9.82%-16.80%. Pregnant women who were randomly screened using a survey (n=127) were 3 times more likely (OR: 3.1; 95% CI: 1.182 to 8.704, p=0.022) to have SCH compared to pregnant women who were screened based on their physician’s judgement (n=257). Results showed older age (≥40 years) was associated with an insignificant decrease in the risk of SCH. CONCLUSION: Random screening for SCH in pregnant women showed a higher prevalence in comparison to women who were screened as a result of physician referrals. The results highlight the urgent need for larger studies to investigate the prevalence of SCH as well as the need for an SCH screening program. Saudi Medical Journal 2018-03 /pmc/articles/PMC5893914/ /pubmed/29543303 http://dx.doi.org/10.15537/smj.2018.3.21621 Text en Copyright: © Saudi Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Al Shanqeeti, Shatha A.
Alkhudairy, Yasser N.
Alabdulwahed, Alwaleed A.
Ahmed, Anwar E.
Al-Adham, Maysoon S.
Mahmood, Naveed M.
Prevalence of subclinical hypothyroidism in pregnancy in Saudi Arabia
title Prevalence of subclinical hypothyroidism in pregnancy in Saudi Arabia
title_full Prevalence of subclinical hypothyroidism in pregnancy in Saudi Arabia
title_fullStr Prevalence of subclinical hypothyroidism in pregnancy in Saudi Arabia
title_full_unstemmed Prevalence of subclinical hypothyroidism in pregnancy in Saudi Arabia
title_short Prevalence of subclinical hypothyroidism in pregnancy in Saudi Arabia
title_sort prevalence of subclinical hypothyroidism in pregnancy in saudi arabia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893914/
https://www.ncbi.nlm.nih.gov/pubmed/29543303
http://dx.doi.org/10.15537/smj.2018.3.21621
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