HYPOTHYROIDISM DURING PREGNANCY IN GEORGIAN POPULATION

Abstract

The dysfunction of the thyroid gland is a regional pathology that significantly impacts pregnancy. The interplay between pregnancy's effects on thyroid function and the impact of organ dysfunction on pregnancy duration is notable. A retrospective study involving 525 cases was conducted to explore correlations. Among these cases, 38% exhibited thyroid gland hypofunction. Autoimmune thyroiditis was observed in 61% of cases, while 34% had Nodular goiter, and 49% experienced gland hypoplasia. This high prevalence of thyroid dysfunction underscores the need for comprehensive screening, including not only TSH but also overall gland function. Laboratory tests such as TSH, FT4, A-TPO, and A-TG should be included in screening protocols. Researchers point to iodine deficiency as the primary cause of further thyroid dysfunction. This highlights the importance of discussing and considering iodine supplementation.