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[Risk factors of 125 cases of neonatal congenital hypothyroidism during perinatal period]
Jinfu Zhou1, Jinying Luo2, Hong Zhao1
1Fujian Provincial Maternity and Child Care Hospital, Teaching Hospital of Fujian Medical University, Fujian Neonatal Screening Center, Fuzhou 350001, China.
Insights
Maternal age, gestational diabetes, and thyroid issues are key risk factors for congenital hypothyroidism (CH). Perinatal care improvements can help reduce CH incidence in newborns.
Area of Science:
- Neonatal Health
- Endocrinology
- Perinatal Medicine
Background:
- Congenital hypothyroidism (CH) is a significant cause of preventable intellectual disability in newborns.
- Understanding perinatal risk factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To investigate the association between various perinatal factors and the occurrence of congenital hypothyroidism (CH).
- To provide scientific evidence to guide the prevention of CH.
Main Methods:
- A case-control study was conducted involving 125 neonates with CH and 375 controls.
- Logistic regression analysis (univariate and multivariate) was used to identify perinatal risk factors for CH.
Main Results:
- Advanced maternal age, gestational diabetes mellitus, and maternal thyroid disease were identified as significant risk factors.
- Preterm birth, low birth weight, macrosomia, multiple gestation, birth defects, and fetal distress also increased CH risk.
Conclusions:
- CH is associated with maternal age, gestational diabetes, gestational thyroid disease, and neonatal factors like birth weight and gestational age.
- Enhanced perinatal care focusing on identified risk factors is recommended to decrease CH incidence.
Objective:
To understand the relationship between perinatal factors and congenital hypothyroidism (CH) and provide scientific evidence for the prevention of CH.
Methods:
A case-control study was conducted among 125 neonates with CH (case group) and 375 neonates without CH (control group) in Fujian Neonatal Screening Center from January in 2012 to December in 2013. Univariate and multivariate logistic regression analysis were performed to identify the risk factors to CH during perinatal period.
Results:
Univariate logistic regression analysis indicated that compared with control group, gestational hypertension, gestational diabetes mellitus, gestational thyroid disease and older age of mother were the risk factors to CH, the difference was statistically significant (P < 0.05) and the risk of CH was higher in female babies, preterm babies, post-term babies low birth weight babies, macrosomia, twins, babies with birth defects and infection in cases group than those in control group, the difference was statistically significant (P < 0.05). Multivariate logistic analysis showed that older age of mother (OR = 2.518, 95% CI: 1.186-5.347), gestational diabetes mellitus (OR = 1.904, 95% CI: 1.190-3.045), gestational hypothyroidism or hyperthyroidism (OR = 12.883 and 30.797, 95% CI: 2.055-80.751 and 3.309-286.594), preterm birth (OR = 4.238, 95% CI: 1.269-14.155), and post-term birth (OR = 12.799, 95% CI: 1.257-130.327), low birth weight (OR = 3.505, 95% CI: 1.059-11.601), macrosomia (OR = 3.733, 95% CI: 1.415-9.851), twin or multiparous delivery (OR = 5.493, 95% CI: 1.701-17.735), birth defects (OR = 3.665, 95% CI: 1.604-8.371) and fetal distress (OR = 3.130, 95% CI: 1.317-7.440) were the high risk factors to CH (P < 0.05).
Conclusion:
CH was correlated with mother's age, gestational diabetes, gestational thyroid disease as well as neonate's birth weight and gestational age, foetus number, fetal distress and other complicated birth defects at certain degree. More attention should be paid to perinatal care to reduce risk factors and the incidence of CH.
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