Hyperemesis Gravidarum and Hyperthyroidism

Abstract

Hyperemesis gravidarum might require hospitalisation in patients, and upto two-thirds of women with hyperemesis gravidarum have transient hyperthyroidism. We undertook a study of pregnant women admitted with no known cause of vomiting. These patients were subjected to tests for TSH, Total T4, and Total T3 hormones to establish hyperthyroidism, and the values of these tests were serially monitored. We studied pregnancy outcomes such as period of gestation, and weight at birth, Apgar score at three and five minutes, and maternal TSH values at birth. The Total T4, Total T3, and TSH levels had normalised by gestational age of 14-16 weeks, and TSH at birth was found to be normal. Birth weight showed only a small deviation. The results suggest that asymptomatic patients with TSH value indicating hyperthyroidism in the first trimester need no further revaluation. Key words: Hyperemesis gravidarum, pregnancy, hyperthyroidism.

Development of clean water supply policies to achieve SDG 6 targets in Bengkulu City

“…ISM is one of the systematic and comprehensive methods based on group judgment [6]. The ISM method is able to provide a directed framework for decision-makers for complex problems so as to provide a realistic picture of the situation and related variables [7]. The use of ISM can produce more realistic assumptions because it considers dynamics in a structured manner and is able to identify critical factors that affect a project [8].…”