Assessment of knowledge, attitudes and practices towards newborn screening for congenital hypothyroidism before and after a health education intervention in pregnant women in a hospital setting in Pakistan

Tariq, Batha; Ahmed, Ayesha; Habib, Atif; Turab, Ali; Ali, Noshad; Soofi, Sajid Bashir; Nooruddin, Shanila; Kumar, Rekha Jiswant; A, Tariq; Shaheen, Fariha; Ariff, Shabina

doi:10.1093/inthealth/ihx069

Cited by 13 publications

(9 citation statements)

References 15 publications

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“…towards CH screening in terms of opting for screening test following intervention. This study was translated into a corresponding change in practice with 74% of responds getting done 7 .Our study also shown a great improvement in knowledge, attitude and practice after counselling in post natal mothers.…”

Section: Discussionmentioning

confidence: 54%

Assessment of Risk Factors of Congenital Hypothyroidism and Impact of Patient Counselling On Improving Knowledge, Attitude and Practice of the Disease In Post Natal Mothers-A Pilot Study

Neethu¹,

Anwar²,

Alex³

et al. 2020

AJPTR

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Congenital hypothyroidism (CH) is one of the most common endocrine disorders and one of the causes of congenital mental disability, which can be prevented in the case of early diagnosis and treatment. The only effective way to diagnose CH is screening by laboratory methods, such as thyroid-stimulating hormone (TSH) or free thyroxine (T4) measurement. The study was carried out in 15 babies who was diagnosed with hypothyroidism and their mothers from neonatology department of tertiary care hospital at thiruvananthapurm. Informed consent was obtained. Details were collected using specially designed proforma. Risk factors were assessed through information which were collected from case records and through direct interview with caregivers. Questionnaire for assessing knowledge, attitude and practice were given to post natal mothers. Knowledge ,attitude and practice before and after counselling is obtained. A total of 15 babies with congenital hypothyroidism and their mothers fulfilling the study criteria were included. Risk factors were assessed using ANOVA. Using paired t-test, statistical analysis clearly depicts that there is a significant improvement in knowledge, attitude and practice of congenital hypothyroidism in post natal mothers as well as combined with significant p-value <0.001. From this study it is concluded that most of the post natal mothers of babies with congenital hypothyroidism had shown a considerable improvement in knowledge ,attitude and practice of the disease after counselling. Pharmacist intervention in the form of counselling is hence an integral factor in improving the knowledge, attitude and practice of congenital hypothyroidism in post natal mothers. And the most common risk factors were mother's age, preterm delivery, maternal hypothyroidism, multiple pregnancies, medication during pregnancy, gender

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Section: Discussionmentioning

confidence: 54%

Assessment of Risk Factors of Congenital Hypothyroidism and Impact of Patient Counselling On Improving Knowledge, Attitude and Practice of the Disease In Post Natal Mothers-A Pilot Study

Neethu¹,

Anwar²,

Alex³

et al. 2020

AJPTR

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“…Nonetheless, our results highlighted the need for large epidemiological studies to estimate SCH in pregnant women in Pakistan. Tariq et al highlighted the lack of awareness of Pakistani pregnant women towards hypothyroidism, which requires extensive awareness and screening programs [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Subclinical Hypothyroidism During Early Pregnancy in Pakistan: A Cross-Sectional Study

Sohail¹,

Yasmin²,

Tasneem³

et al. 2021

Cureus

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IntroductionSubclinical hypothyroidism (SCH) during early pregnancy is associated with an increased risk of miscarriage or premature birth. In Pakistan, the prevalence of SCH among pregnant women is not well documented. This multi-center study aims at identifying the prevalence of SCH among Pakistani pregnant women. MethodsA cross-sectional multi-center study was conducted over a period of 12 months. Pregnant females in the first trimester of pregnancy were recruited from the antenatal clinics of seven centers from six Pakistani cities. We assessed the frequency of SCH in pregnant females and associated risk factors. ResultsA total of 500 pregnant women were enrolled in this study. Only eight women (1.6%) had a newly-diagnosed SCH. While 1.2% of women had hyperthyroidism, 6% had known hypothyroidism, and 1% had overt hypothyroidism. Ten females (33.3%) with known hypothyroidism were receiving an inadequate dose of thyroid replacement therapy. The association between BMI and SCH was not statistically significant (p = 0.69). Moreover, we could not find any significant difference between patients with or without SCH in terms of age (p > 0.90), dyslipidemia (p = 0.157), history of miscarriage (p > 0.90), the regularity of the cycle (p > 0.90), and history of infertility (p > 0.90). ConclusionsThe frequency of undiagnosed SCH in pregnant females in the study from Pakistan was 1.6%. The rate of uncontrolled hypothyroidism was high, which raises an alarm of the potential risks of untreated thyroid disorder.

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“…A definite diagnosis is possible only with a screening program and measurement of T4 and TSH in the baby's blood sample [3]. Then in case of timely treatment, the side effects of the disease can be prevented [4]. The prevalence of congenital hypothyroidism is approximately 1 per 2000-3000 live births [5].…”

Section: Contextmentioning

confidence: 99%

Information Registry System on Congenital Hypothyroidism: A Systematic Review

et al. 2021

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Background: Congenital hypothyroidism is the most common congenital disorder of the endocrine system, leading to preventable mental retardation. Objectives: We aimed to evaluate the current status of congenital hypothyroidism information registry systems. Methods: In this systematic review 290 papers identified. A total of 254 articles were screened, of which 17 qualified articles were selected through the databases of Scopus, science direct ProQuest, PubMed, as well as the search engine Google scholar (no restriction on date of publication) up to 2020, were searched. Inclusion criteria were the Articles with the English language that examining information registry systems on congenital hypothyroidism. Articles whose full texts were not accessible, case reports, and letters to the editor had to be excluded. Results: This study showed that the primary goal of nearly half (50%) of the information registry systems for congenital hypothyroidism is to evaluate the efficiency and effectiveness of the screening program. Other information registry systems for congenital hypothyroidism have examined the epidemiology of the disease in 4 studies (23.6%), monitoring iodine deficiency in 3 studies (18%), surveillance disease in 1 study (6%), and describing the clinical and familial features of the patient in 1 study (6%). Conclusions: Few studies have been done on developing information registry systems, and most studies have focused on the use of information systems in this field. Further comprehensive reviews are recommended to investigate the infrastructure of the commission national registry and world network to record information units on congenital hypothyroidism.

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Assessment of knowledge, attitudes and practices towards newborn screening for congenital hypothyroidism before and after a health education intervention in pregnant women in a hospital setting in Pakistan

Abstract: Unfortunately, the majority of mothers were unaware of CH and its implications, leading to less screening and fewer diagnoses. This study underlines the importance of education in screening programmes to create awareness and maximize uptake.

Cited by 13 publications

References 15 publications

Assessment of Risk Factors of Congenital Hypothyroidism and Impact of Patient Counselling On Improving Knowledge, Attitude and Practice of the Disease In Post Natal Mothers-A Pilot Study

Assessment of Risk Factors of Congenital Hypothyroidism and Impact of Patient Counselling On Improving Knowledge, Attitude and Practice of the Disease In Post Natal Mothers-A Pilot Study

The Prevalence of Subclinical Hypothyroidism During Early Pregnancy in Pakistan: A Cross-Sectional Study

Information Registry System on Congenital Hypothyroidism: A Systematic Review

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