Prevalence of subclinical hypothyroidism in pregnancy in Saudi Arabia

Prevalence of subclinical hypothyroidism in pregnancy in Saudi Arabia

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 A...

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Published in:Saudi medical journal Vol. 39; no. 3; pp. 254 - 260
Main Authors: Al Shanqeeti, Shatha A, Alkhudairy, Yasser N, Alabdulwahed, Alwaleed A, Ahmed, Anwar E, Al-Adham, Maysoon S, Mahmood, Naveed M
Format: Journal Article
Language:English
Published: Saudi Arabia Saudi Medical Journal 01-03-2018
Prince Sultan Military Medical City (PSMMC)
Subjects:
Adolescent
Adult
Analysis
Asymptomatic Diseases - epidemiology
Cross-Sectional Studies
Female
Gestational diabetes
Health aspects
Hormones
Hospitals
Humans
Hypothyroidism
Hypothyroidism - diagnosis
Hypothyroidism - epidemiology
Medical research
Middle Aged
Original
Pregnancy
Pregnancy Complications - epidemiology
Pregnant women
Prevalence
Prevalence studies (Epidemiology)
Primary care
Random Allocation
Referral and Consultation
Saudi Arabia - epidemiology
Thyroid gland
Womens health
Young Adult
Saudi Arabia
China
Spain
India
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Summary: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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ISSN:0379-5284
1658-3175
DOI:10.15537/smj.2018.3.21621