Objective To explore the current situation of thyroid dysfunction during pregnancy and analyze the relevant influencing factors.Methods A total of 2307 pregnant women who underwent prenatal ex⁃aminations at the Obstetrics and Gynecology Department of Bethune Hospital in Shanxi Province from January 2020 to December 2022 were selected as the research subjects.Thyroid function testing was used to investigate the incidence of thyroid dysfunction during pregnancy,and a logistic regression model was used to analyze the in⁃fluencing factors of hypothyroidism.Results A total of 449 cases of abnormal thyroid function were detected,with an abnormal detection rate of 19.46％.The primary cause was hypothyroidism(362 cases),accounting for 80.63％.Among them,subclinical hypothyroidism(68.60％),hypothyroidism(12.03％),subclinical hyperthy⁃roidism(16.04％),and hyperthyroidism(3.34％).Multivariate logistic regression analysis showed that older age,overweight/obesity,history of adverse pregnancy,consumption of non⁃iodized salt,family history of thy⁃roid disease,pregnancy hypertension,pregnancy diabetes and anemia were independent risk factors for hypothy⁃roidism in pregnant women(P<0.05).Conclusion Hypothyroidism is a common complication of thyroid dys⁃function during pregnancy,and there are many factors that can affect its development.In clinical practice,it is important to focus on screening and intervention for older pregnant women who are overweight/obese,anemic,consume non⁃iodized salt,have a history of adverse pregnancy,thyroid disease family history,and pregnancy complications.This is done to reduce the risk of adverse pregnancy outcomes caused by thyroid dysfunction.
维普
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