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Hypothyroidism is common in pregnancy with an estimated prevalence of 2-3% and 0.3-0.5% for subclinical and overt hypothyroidism respectively. [8] Endemic iodine deficiency accounts for most hypothyroidism in pregnant women worldwide while chronic autoimmune thyroiditis is the most common cause of hypothyroidism in iodine sufficient parts of the world.
This is a shortened version of the eleventh chapter of the ICD-9: Complications of Pregnancy, Childbirth, and the Puerperium.It covers ICD codes 630 to 679.The full chapter can be found on pages 355 to 378 of Volume 1, which contains all (sub)categories of the ICD-9.
A "primigravida" is a female who is pregnant for the first time or has been pregnant once. A " multigravida " or " secundigravida " is a female who has been pregnant more than once. Terms such as "gravida 0", referring to a nulligravida, "gravida 1" for a primigravida, and so on, can also be used.
HG has been technically defined as more than three episodes of vomiting per day such that weight loss of 5% or three kilograms has occurred and ketones are present in the urine. [3] Other potential causes of the symptoms should be excluded, including urinary tract infection , and an overactive thyroid .
Of those women who experience hypothyroidism associated with postpartum thyroiditis, one in five will develop permanent hypothyroidism requiring lifelong treatment. Postpartum thyroiditis is believed to result from the modifications to the immune system necessary in pregnancy, and histologically is a subacute lymphocytic thyroiditis .
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