{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T18:39:05Z","timestamp":1784227145737,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,6,2]],"date-time":"2014-06-02T00:00:00Z","timestamp":1401667200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>We investigated thyroid function and the impact of gestational transient thyrotoxicosis (<jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content>) on pregnancy outcome in patients with hyperemesis gravidarum (<jats:styled-content style=\"fixed-case\">HG<\/jats:styled-content>; <jats:italic>n<\/jats:italic>\u2009=\u2009143) who were hospitalized for rehydration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Serum thyroid\u2010stimulating hormone (<jats:styled-content style=\"fixed-case\">TSH<\/jats:styled-content>), free <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>3 (<jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content>3), free <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>4 (<jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content>4), thyroid globulin antibody (<jats:styled-content style=\"fixed-case\">TgAb<\/jats:styled-content>), thyroid peroxidase antibody (<jats:styled-content style=\"fixed-case\">TPOAb<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">hCG<\/jats:styled-content> were measured after admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total prevalence of thyrotoxicosis in <jats:styled-content style=\"fixed-case\">HG<\/jats:styled-content> was 48.3%; <jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content> was the main form (45.5%). The total incidence of <jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content> increased significantly if serum <jats:styled-content style=\"fixed-case\">hCG<\/jats:styled-content> was more than 80\u2009000\u2009IU\/L, subclinical <jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content> if serum <jats:styled-content style=\"fixed-case\">hCG<\/jats:styled-content> was 80\u2009000\u2013140\u2009000\u2009IU\/L and clinical <jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content> if serum <jats:styled-content style=\"fixed-case\">hCG<\/jats:styled-content> was more than 180\u2009000\u2009IU\/L. <jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content> did not require antithyroid therapy. The course of <jats:styled-content style=\"fixed-case\">TSH<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content>3 and <jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content>4 were followed in 34 cases of <jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content>; thyroid function normalized by the second trimester. Of 65 patients with <jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content>, two underwent abortions due to unplanned pregnancies, two delivered prematurely and two infants had macrosomia. There were no other complications. All newborns (<jats:italic>n<\/jats:italic>\u2009=\u200963) of mothers with <jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content> had normal <jats:styled-content style=\"fixed-case\">TSH<\/jats:styled-content> levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content> is common in <jats:styled-content style=\"fixed-case\">HG<\/jats:styled-content>. The severity of <jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content> is related to serum <jats:styled-content style=\"fixed-case\">hCG<\/jats:styled-content> levels. In patients with <jats:styled-content style=\"fixed-case\">HG<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content>, thyroid function normalized by the second trimester without antithyroid treatment. <jats:styled-content style=\"fixed-case\">GTT<\/jats:styled-content> did not affect pregnancy outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12372","type":"journal-article","created":{"date-parts":[[2014,6,3]],"date-time":"2014-06-03T03:14:07Z","timestamp":1401765247000},"page":"1567-1572","source":"Crossref","is-referenced-by-count":34,"title":["Clinical analysis of 65 cases of hyperemesis gravidarum with gestational transient thyrotoxicosis"],"prefix":"10.1111","volume":"40","author":[{"given":"Shuiya","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Endocrinology Sir Run Run Shaw Hospital Zhejiang University School of Medicine  Hangzhou Zhejiang China"},{"name":"Jiaxing Maternity and Child Health Care Hospital  Jiaxing Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Qiu","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Sir Run Run Shaw Hospital Zhejiang University School of Medicine  Hangzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaqiang","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Sir Run Run Shaw Hospital Zhejiang University School of Medicine  Hangzhou Zhejiang 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