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The investigators' aim is to enroll around 2000 patients from Taipei, Keelung, Linkou, Chiayi and Kaohsiung CGMH. All participants will receive universal thyroid function screening at 1st trimester, and those who was found to have hyperthyroidism or hypothyroidism will be referred to Endocrine department for further treatment. All participants will be followed at outpatient clinic, and their obstetric visit finding will be recorded. The maternal and neonatal outcomes will be analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hyperthyroidism | Elevated fT4, low TSH |
| |
| Hypothyroidism | Elevated TSH, low fT4 |
| |
| Euthyroid | Normal TSH/fT4 level |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PTU 50 MG Oral Tablet | Drug | to treat if the patient has hyperthyroidism |
| |
| Measure | Description | Time Frame |
|---|---|---|
| The prevalence thyroid dysfunction | Hypothyroidism: defined as serum TSH > 2.5U/mL and decreased fT4*; Hyperthyroidism: defined as fT4 > normal range* and TSH undetectable * Serum free T4 range varies according to trimesters. | 40 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Pregnant women at their first trimester of pregnancy may be enrolled.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tai-ho Hung, PhD | Contact | 886-2-27135211 | 3179 | thh20@cgmh.org.tw |
| Chen-ai Sung, MD | Contact | 886-2-27135211 | 3410 | pgy1105@cgmh.org.tw |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chang Gung Memorial hospital | Recruiting | Taipei | 105 | Taiwan |
The decision will be made once the study is completed.
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| ID | Term |
|---|---|
| D013607 | Tablets |
| D013974 | Thyroxine |
| ID | Term |
|---|---|
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |
| D013963 | Thyroid Hormones |
| D006728 | Hormones |
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| Levothyroxin |
| Drug |
to treat if the patient has hypothyroidism |
|
| D006730 |
| Hormones, Hormone Substitutes, and Hormone Antagonists |
| D024322 | Amino Acids, Aromatic |
| D000598 | Amino Acids, Cyclic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |