Prevalencia de preeclampsia en gestantes con hipotiroidismo de 18 a 40 años atendidas en el Hospital del Norte IESS Ceibos en el periodo 2023 al 2024.

Abstract

Introduction: Hypothyroidism in pregnancy, with a global prevalence of 1- 5% and 8% in Ecuador, is a risk factor for preeclampsia and other maternal- fetal complications. Objective: To estimate the prevalence of preeclampsia in pregnant women with hypothyroidism between 18 and 40 years of age attended at the Hospital del Norte IESS Ceibos in the period 2023 to 2024 Methodology: This study has an observational, descriptive, retrospective and cross-sectional design. Results: The study included 86 pregnant women with hypothyroidism; the most frequent comorbidity was obesity (48.8%). Regarding gynecological-obstetric history, 48.8% had between 0 and 2 gestations, and 23.3% had between 0 and 2 cesarean sections. Primary hypothyroidism was the predominant subtype (79.1%). Preeclampsia was diagnosed in 41.9% of the pregnant women, with preterm delivery (50.0%), intrauterine growth restriction (33.3%) and postpartum hemorrhage (30.6%) as the most frequent complications. Conclusions: Preeclampsia was common in pregnant women with hypothyroidism, which presented with various interacting obstetric complications.