“…The majority of newborns will appear normal and healthy so doctors may not suspect they have congenital hypothyroidism. 8, 9 Some things that can be noticed in infants with congenital hypothyroidism, namely in newborns up to the age of 8 weeks of non-specific complaints, developmental retardation, failure to thrive or short stature, lethargy, inactivity, constipation, lazy sucking, hoarse crying voice, pale, born in an area with a prevalence of endemic cretinism and an area of iodine deficiency, premature birth or more months (postmature), a family history of thyroid disorders, maternal illness during pregnancy, currently taking antithyroid drugs, and light therapy. Clinical manifestations that can be seen in congenital hypothyroidism include a large fontanelle or late closing, dull face, macroglossia, dry skin, umbilical hernia, mottling, cutis marmorata, decreased activity, jaundice, hypotonia, at first glance like Down's syndrome, but at a glance Down syndrome babies are more active, more common in infants with birth weight less than 2000 g or more than 4000 g, about 3-7% of infants with congenital hypothyroidism are usually accompanied by other congenital abnormalities, especially atrial and ventricular septal defects.…”