The course of pregnancy and its result in women who have diffuse non-toxic goiter
Abstract Aim – to study the peculiarities of the pregnancy course and its result with women who have diffuse non-toxic goiter. Materials and methods. The course of pregnancy and its result in 75 women with diffuse non-toxic goiter and in 75 women without thyroid pathology has been studied. The...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Zaporizhzhia State Medical and Pharmaceutical University
2018-04-01
|
| Series: | Patologìâ |
| Subjects: | |
| Online Access: | http://pat.zsmu.edu.ua/article/view/129187/126891 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Abstract
Aim – to study the peculiarities of the pregnancy course and its result with women who have diffuse non-toxic goiter.
Materials and methods. The course of pregnancy and its result in 75 women with diffuse non-toxic goiter and in 75 women without thyroid pathology has been studied. The amount of thyroid-stimulating hormone (TSH), free triiodothyronine (FT3) and free thyroxin (FT4) was defined in blood serum, the concentration of iodine – in urine.
Results. The pregnancy in women who have diffuse non-toxic goiter goes with mild iodine deficiency (median 66.0 μg/l), an increase in TSH, a decrease in thyroid hormones and an integral thyroid index, compared with pregnant women without pathology of the thyroid gland. In 78.7 % (95 % CI 68.1–86.4 %) of women with diffuse non-toxic goiter, the thyroid gland enlargement is first detected during pregnancy. In 32.0 % (95 % CI 22.5–43.2 %) of women with diffuse nontoxic goiter in the second half of pregnancy subclinical hypothyroidism is developed. The presence of diffuse non-toxic goiter in the pregnant in comparison with the women without thyroid pathology increases the possibility of spontaneous abortion (OR 4.2; 95 % CI 2.0–8.9), iron-deficiency anemia (OR 2.3; 95 % CI 1.1–4.8), preeclampsia (OR 2.7; 95 % CI 1.2–6.2), placental dysfunction (OR 6.3; 95 % CI 3.1–12.8), fetal growth retardation (OR 5.6; 95% CI 1.2–26.6), premature labor (OR 5.6; 95 % CI 1.2–26.6), untimely outpouring of amniotic fluid (OR 2.2; 95 % CI 1.1–4.4), labor abnormalities (OR 2.8; 95 % CI 1.2–7.0).
Conclusions. In women with diffuse non-toxic goiter the likelihood of complications increases during pregnancy and childbirth, which points to the need to develop therapeutic and preventive measures aimed at their reduction. |
|---|---|
| ISSN: | 2306-8027 2310-1237 |