The function of thyroid gland during the course of pregnancy

The influence of pregnancy on the function of thyroid gland on the one hand and the influence of dysfunction of this organ on duration of pregnancy on the other is a common and topical problem in medicine. For the study of this correlation, 77 pregnant women have been examined, 45 of which suffered from the thyroid gland dysfunction of different levels. According to the level of iodine excretion acute insufficiency has not been detected among the observed pregnant women; 7 (9%) of them had medium insufficiency and 14 (18%) suffered from moderate lack of iodine. Such patients were treated with iodine preparations only. 24 women (31%) were assigned a combined treatment of hormonal (e.g. L-Thyroxin) and iodine medications. Moreover, they were placed under a dynamic monitoring of endocrinologist and the gynaecologist during the entire period of pregnancy. The research also included a detailed study of age dependence, the sequence of pregnancy, extra genital pathologies and regional spreading. The latter showed that the thyroid gland pathology is the most frequently encountered among the pregnant from Tbilisi and its proximity areas (53%) and from the Western parts of Georgia (22%). The thyroid gland pathology is more frequent among women during repeated pregnancy (35%) as compared to the primigravidae (23%). Our overall data show that the dysfunction of thyroid gland is observed in 58.4% of cases. Every examined woman delivered a healthy baby after a full-term pregnancy.