srjmsSRJMSSRJMS2788-948310.47310/srjms.2025.v05i01.008Evaluating Knowledge and Perceptions of Hypothyroidism During Pregnancy in Chamba District, Himachal PradeshBackground: Hypothyroidism is a prevalent endocrine disorder among women of reproductive age, with significant implications during pregnancy, including miscarriage, preterm birth and impaired fetal development. Despite national screening guidelines, awareness remains low, particularly in rural regions like Chamba, Himachal Pradesh. This study aimed to assess knowledge and perceptions of hypothyroidism in pregnancy and identify key demographic factors influencing awareness. Materials and Methods: A cross-sectional, online survey was conducted from January to March 2025 among 400 adults (≥18 years) in Chamba district, using a bilingual (Hindi/English) questionnaire. Participants included pregnant or previously pregnant women and community members involved in maternal health decisions. Responses were scored and categorized into four knowledge levels. Data were analyzed using SPSS v26.0, with chi-square tests to explore associations. Results: Participants were mostly female (65.3%) and rural (70.5%), with the majority aged 26–35 years. While 69.8% demonstrated Good (39.5%) or Very Good (30.3%) knowledge, key gaps persisted particularly regarding iodine's role (60.3%), pregnancy-related risks (~62%) and asymptomatic presentation. Lower knowledge scores were associated with rural residence and lower education levels. Conclusion: Although baseline awareness of hypothyroidism in pregnancy is promising, critical gaps remain in understanding risks, prevention and nutrition. Culturally tailored education via community health workers and mobile health tools is essential to strengthen maternal thyroid health in underserved regions like Chamba.