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Registry Study for Pregnant Women With Iodine Overload

Conditions
Iodine Overload in Pregnancy
Interventions
Other: dietary iodine restriction on subjects with iodine overload
Registration Number
NCT03470597
Lead Sponsor
Peking Union Medical College Hospital
Brief Summary

Pre-gestational performance of hysterosalpingography (HSG) using an oil-soluble iodinated contrast medium has been demonstrated to be the main cause of excessive iodine exposure for pregnant women. However, its long-term health effects on the mothers and offsprings have not been adequately elucidated. A case registry study is designed to follow up all the pregnant women with pre-gestational history of ethiodized-oil HSG examination and try to keep track of maternal and fetal outcomes.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
195
Inclusion Criteria

Must be pregnant when enrolled in this study. Must have undergone examination of ethiodized-oil HSG before this pregnancy. Clinical diagnosis of iodine excess (with the mean urine iodine concentration ≥250μg/L and the serum iodine concentration >92μg/L).

Exclusion Criteria

Having past history of partial or total resection of thyroid glands. Having medical history of thyroid dysfunction before ethiodized-oil HSG examination.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Pregnant women with pre-gestational HSG historydietary iodine restriction on subjects with iodine overloadAll enrolled pregnant women with pre-gestational ethiodized-oil HSG will be followed up without grouping and be kept track for maternal and offspring's health outcomes in this case registry study.
Primary Outcome Measures
NameTimeMethod
comprehensive pregnant outcomes_prevalence of gestational diabetesduring the whole pregnancy, from date of verification of pregnancy until the date of termination of pregnancy, assessed up to 10 months

prevalence of gestational diabetes

comprehensive neonatal outcomes at deliveryat the time of delivery

Apgar scores of neonates

offspring outcomes_neurodevelopment evaluation in long termfrom birth to age of 1 year old, assessed every 6 months

Norwegian version of the Ages and Stages Questionnaire (ASQ) scores for evaluation of infant neurodevelopment

comprehensive offspring outcomes in long term - BMI evaluationfrom birth to age of 1 year old, assessed every 3-6 months

BMI of offsprings

comprehensive pregnant outcomes_prevalence of gestational hypertensionduring the whole pregnancy, from date of verification of pregnancy until the date of termination of pregnancy, assessed up to 10 months

prevalence of gestational hypertension

comprehensive pregnant outcomes_rate of cesarean sectionat the time of delivery

rate of cesarean section

comprehensive pregnant outcomes_prevalence of abnormal pregnancyduring the whole pregnancy, from date of verification of pregnancy until the date of termination of pregnancy, assessed up to 10 months

prevalence of abnormal pregnancy (stillbirth, abortion, premature delivery)

comprehensive neonatal outcomes_neonatal head circumferenceat the time of delivery

head circumference of neonates

comprehensive neonatal outcomes_prevalence of macrosomia or underweightat the time of delivery

prevalence of macrosomia or underweight

comprehensive neonatal outcomes_neonatal weightat the time of delivery

birth weight of neonates

comprehensive neonatal outcomes_neonatal heightat the time of delivery

height of neonates

comprehensive neonatal outcomes_neonatal BMIat the time of delivery

BMI of neonates

offspring outcomes_prevalence of thyroid dysfunctionfrom birth to age of 1 year old, assessed every 6 months

prevalence of thyroid dysfunction (hyperthyroidism or hypothyroidism)

comprehensive offspring outcomes in long term - weight evaluationfrom birth to age of 1 year old, assessed every 3-6 months

weight of offsprings

comprehensive offspring outcomes in long term - height evaluationfrom birth to age of 1 year old, assessed every 3-6 months

height of offsprings

Secondary Outcome Measures
NameTimeMethod
prevalence of thyroid dysfunction in pregnancyduring the whole pregnancy, from date of verification of pregnancy until the date of termination of pregnancy, assessed up to 10 months

evaluation of maternal TSH, T3, T4, FT3, FT4, TRAb,Tg-Ab, TPO-Ab

prevalence of iodine overload in neonateswithin 1 week after birth of neonates

prevalence of infants with urinary iodine concentration ≥200μg/L

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