Impact of Patient Information Leaflet and Management of Levothyroxine a mong Pregnant Women with Hypothyroidism

Abstract

Hypothyroidism an endocrine disorder is an underactive thyroid gland, which does not make enough thyroid hormone. Hypothyroidism during pregnancy can have irreversible effects on the foetus. Treatment of hypothyroidism during pregnancy is given with levothyroxine based on the assessment of thyroid functioning. The present study was aimed to counsel patients using patient information leaflet and management of levothyroxine in a tertiary care hospital. The main objectives are to develop a PIL, identify the application and its usefulness, and to understand the drug utilization evaluation in hypothyroid pregnant patients. A prospective observational study was carried out including 98 pregnant women with hypothyroidism during august 2019 to January 2020. A total of 98 patients were enrolled in the study, the percentage distribution of subject’s age showed that the age group of 18-25 were predominant. Among them, 48 were in the first trimester. All the patients were counselled using PIL and appropriate feedback was collected. Management of levothyroxine was carried out from the level of TSH and dose of levothyroxine collected during follow up. Hence it can be concluded that patient information leaflets can show a great impact on patients by improving their condition and thus, a reduction in dose can be achieved.