Background: Thyroid dysfunction in pregnancy may be accompanied by both maternal and fetal complications. Hypothyroidism in pregnancy is associated with premature birth, fetal cardiac complications, low birth weight, increased frequency of cesarean delivery, placental complications, preeclampsia and gestational hypertension, perinatal morbidity-mortality, and cognitive dysfunction. Objective: The aim of the current work was to study early diagnosis of thyroid dysfunction in pregnant women for better health care.