It is well known that untreated and under-treated hypothyroidism during pregnancy leads to increased miscarriage and pregnancy complications. Women that take their thyroid hormone regularly and keep their TSH values in the normal range will have less problems during pregnancy and their babies will have improved developmental outcomes.
There are studies that show that there are many women who do not take their thyroid hormone regularly while pregnant. Sometimes, a woman’s concern about the safety of the medication or a particular personality trait may influence their compliance with this medication. The goal of this study was to identify certain factors that may predict lack of compliance with thyroid hormone during pregnancy. This, in turn, will allow for more specific interventions, such as education, targeted to women identified to be less likely to be compliant.
THE FULL ARTICLE TITLE:
Juch H et al Medication adherence among pregnant women with hypothyroidism—missed opportunities to improve reproductive health? A cross-sectional, web-based study. Patient Educ Couns. April 11, 2016 [Epub ahead of print].
SUMMARY OF THE STUDY
This study was done using an anonymous online questionnaire available in 18 countries in North America, Australia and Europe that was accessed via websites and social networks for pregnant women. Data was collected during a period of two months. Pregnant women with self-reported hypothyroidism were included in the study.
The questionnaire was comprehensive and included questions about marital status, education, age, immigration status among others. A section asked for information about the type of medication used to treat the hypothyroidism and about other health problems and their treatment. Depression and certain personality traits were also addressed.