Very Less Women Opt for Thyroid Screening and Counseling in India

In India, hypothyroidism rate is 1 in 800 neonates as against a global average of 1 in 3,800.

Thyroid disorders during pregnancy increase the risk of a slew of medical complications, including miscarriages and postpartum bleeding.

A white paper on the issue revealed that only five percent of women get counseling for thyroid disorders and less than one percent women in both public and private hospitals get complete Thyroid Panel tests routinely done currently in the country.

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Some individuals do not regain optimal health on Levothyroxine (L-T4) monotherapy, although this has been the standard of care for treating hypothyroidism for long and has been effective.

‘Pregnant women must undergo routine thyroid tests and counseling as optimum levels of thyroid hormones during the first three months of pregnancy are critical for the brain development in fetuses.’

The prevalence of thyroid diseases in India currently was 10.95 percent, almost double the diabetes cases at 5.4 percent of the country's population. Treating hypothyroidism is costlier than abortion it triggers, said the white paper.

The white paper on 'Impact and Assessment of Thyroid and Influenza disorders on Mother and Child Health' was jointly launched by business chamber FICCI and Frost and Sullivan, a company working to address global challenges.

It said there was not much difference between public health service providers and private healthcare settings when it comes to screening for thyroid.

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Pregnant women with thyroid disorders face an increased risk of preterm birth and other pregnancy-related complications, finds study published in JCEM.

The prevalence of thyroid screening ranges between 5-10 percent in government hospitals and 20-25 percent in private hospitals.

The impact of thyroid disorders is not visible early enough; however, optimum levels of thyroid hormones during the first three months of pregnancy are critical for the brain development in fetuses.

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In India, hypothyroidism rate is 1 in 800 neonates as against a global average of 1 in 3,800. The white paper also advocated the urgent need for influenza vaccination for all pregnant women.

"A significant number of clinicians interviewed endorsed the need for screening test for thyroid disorders and most agreed to give flu vaccinations to pregnant women. Currently it is a gap area and many hospitals do not do this routinely,” said Ankita Kothari, industry analyst, Frost and Sullivan.

BMC's High Rates of Thyroid Testing Helps Pregnant Women
A recent study demonstrates that BMC conducts a high rate of thyroid function testing in pregnant women.

Vandana Gurnani, joint secretary in the Ministry of Health and Family Welfare, said: “India has made tremendous progress in bringing down maternal and child mortality, made possible by multiple interventions at various stages before, during and after pregnancies.“

Source-IANS