Clinical values of hypothyroidism and subclinical hypothyroidism screening in pregnancy
10.3760/cma.j.issn.1671-7368.2015.08.012
- VernacularTitle:妊娠合并甲状腺功能减退和亚临床甲状腺功能减退筛查的临床意义
- Author:
Chunhong SONG
- Publication Type:Journal Article
- Keywords:
Hypothyroidism;
Pregnancy
- From:
Chinese Journal of General Practitioners
2015;14(8):620-622
- CountryChina
- Language:Chinese
-
Abstract:
To explore the significance of hypothyroidism and subclinical hypothyroidism screening in pregnancy.A total of 278 pregnant women were divided into three groups of clinical hypothyroidism (n =36),subclinical hypothyroidism (n =103) and normal control (n =139).Their clinical profiles,pregnancy outcomes and fetal status were analyzed.The incidences of abortion (11.1%),premature delivery (8.3%),preeclampsia (11.1%),gestational diabetes mellitus (GDM,13.9%),anemia (16.7%),fetal distress (8.3%) and fetal growth retardation (FGR,5.6%) in clinical hypothyroidism group were higher than those in normal control group (2.9%,1.4%,1.4%,2.2%,4.3%,0.0% and 3.6%).And the differences were statistically significant (P < 0.05).The incidence of adverse pregnancy had a significant correlation with hypothyroidism in pregnant women.Therefore screening of thyroid functions is essential for improving pregnancy outcomes of pregnant women with hypothyroidism.