Thyroid disease

Clinical Characteristics and Risk Factors Associated With Adverse Pregnancy Outcomes in Patients With Gestational Hypothyroidism: A Case-Control Study

Endocr PractPublished Case-control study

Authors' conclusion

Our study revealed that the clinical features of patients with GH were age, gestational diabetes, gestational hypertension, gravidity, parity, spontaneous abortion, history of gestation, thyroid-stimulating hormone, free triiodothyronine, TPO-Ab, and free thyroxine.

Study context

Population
Pregnant women with and without gestational hypothyroidism, February 2021 to March 2023
Participants
298 vs 312
Comparison
Gestational hypothyroidism vs pregnant women without gestational hypothyroidism
  • Gestational hypothyroidism (GH)n = 298
  • Controln = 312reference
Outcome
Clinical characteristics

Main finding

As reported in the abstract

Age, gestational diabetes, gestational hypertension, gravidity, parity, spontaneous abortion, history of gestation, TSH, free triiodothyronine, thyroid peroxidase antibody (TPO-Ab) and FT4 differed significantly between the 2 groups
P <.05

Observational data: associations, not effects.

Further findings

Pregnancy outcomes

Preterm delivery, preeclampsia, premature rupture of membranes, placental abruption and postpartum hemorrhage differed significantly between the 2 groups
P < 0.05

Factors influencing pregnancy outcome in GH (multivariate logistic regression)

Influencing factors: age (≥30 years), gestational diabetes, gestational hypertension, gravidity (≥3 times), spontaneous abortion, parity, history of gestation (multiparity), TPO-Ab (positive)

Original publication

Clinical Characteristics and Risk Factors Associated With Adverse Pregnancy Outcomes in Patients With Gestational Hypothyroidism: A Case-Control Study. Endocr Pract. Published 31 October 2023. doi:10.1016/j.eprac.2023.10.135

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