Neonatal thyroid screening and congenital hypothyroidism In Phayao hospital

Abstract

Background

Mental retardation is the nation tragedy , lost our manner resource ,need high cost for treatment and follow up ,Despite that neonatal screening  is the good way for  prevention and the effective treatment need as soon as diagnosis and must before 3 month age.

Objectives

To find the incidence of congenital hypothyroidism of Phayao hospital and review the program management to improve the screening program.

Methodology

Data were abstracted from the records of neonates born at Phayao hospital between October 2002 and September 2008. Descriptive statistics were used to analyze the screening program and the incidence of congenital hypothyroidism was calculated.

Results

There were 13,113 neonates born in  Phayao hospital during the 7 year of study period. 13,130 neonates were screened for congenital hypothyroidism. The coverage of thyroid screening was 99.97 percent. The overall recall rate was 89.13  percent. The confirmatory test rate was 98.44 percent. 46 neonates were repeated blood test for T4, TSH to confirm the diagnosis. The incidence of congenital hypothyroidism was 1:4,378. Abnormal test were found in 3 neonates and all of them were treat with levothyroxine with normal development on follow up.