CPQ Women and Child Health (2018) 1:3
Discussion Paper

Pregnancy and Iodine Prophylaxis


Emre KÖLE* & Merve KÖLE

Bilecik State Hospital Department of Obstetrics, Gynecology Bilecik, Turkey

*Correspondence to: Dr. Emre KÖLE, Bilecik State Hospital Department of Obstetrics, Gynecology Bilecik, Turkey.

Copyright © 2018 Dr. Emre KÖLE, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 18 September 2018
Published: 24 September 2018

Keywords: Pregnancy; Iodine Deficiency; Iodine Replacement


Abstract

Iodine is one of the essential elements required during pregnancy and lactation. Fetal severe mortality and morbidity can be seen in iodine deficiency. Iodine deficiency is a global health problem. Daily iodine intake should be 250 μg / day, especially in pregnant or lactating women.

Introduction
Iodine is one of the essential elements that must be taken absolutely in individuals. Approximately 90% of the dietary iodine is absent from the stomach and duodenum. The half-life of the iodine is up to 10 hours depending on the iodine deficiency. The iodine released into the plasma is used repeatedly by the thyroid gland. The unused portion is excreted in the urine. Daily iodine intake in women who are pregnant or lactating should be 250μg/day. Fetal severe morbidities can be encountered in pregnancies that do not receive adequate iodine support [1-6].

Discussion

Iodine deficiency is a global health problem known to affect about 2 billion people around the world. The most important source of iodine is the oceans and seas. Sea plants and marine animals form the richest iodine source since they can concentrate iodine from water. Iodine evaporates in sea water and then returns to the ground with rain. This leads to low amounts of iodine in crops and crops that grow on the ground with cycling. Iodine deficiency is more common in mountainous areas, and this shortage can be observed in the island and coastal areas. In 2007, published by the International Commission for the Prevention of Iodine Deficiency Diseases (ICIDD) and the new name and IGN (Iodine Global Network), a measure of urinary urine concentration (UIC) in community screenings is proposed to determine the iodine status in the community. According to this, the amount of iodine requirement was determined at the beginning of the studies [1-6].

Table 1: Diseases in Iodine Deficiency


Result

Iodine deficiency can cause fetal serious morbidities. Furthermore, the effects of iodine deficiency may last during neonatal, adherence, and adulthood (table 1). Therefore, daily iodine intake in women who are pregnant or lactating should be 250μg/day. Assuming a mean iodine intake of 100-150μg/day for a standard iodized salt delivery, 200μg/day iodine supplementation should be performed for 100-150μg/day salt restriction.

Bibliography

  1. Andersen, S., Karmisholt, J., Pedersen, K. M. & Laurberg, P. (2008). Reliability of studies of iodine intake and recommendations for number of samples in groups and in individuals. British Journal of Nutrition, 99(4), 813-818.
  2. World Health Organization, International Council for Control of Iodine Deficiency Disorders, & UNICEF. (2001). Assessment of iodine deficiency disorders and monitoring their elimination: a guide for programme managers.
  3. Zimmermann, M. B., Jooste, P. L. & Pandav, C. S. (2008). Iodine-deficiency disorders. The Lancet, 372(9645), 1251-1262.
  4. Rousset, B., Dupuy, C., Miot, F. & Dumont, J. (2015). Thyroid hormone synthesis and secretion.
  5. Alexander, E. K., Pearce, E. N., Brent, G. A., Brown, R. S., Chen, H., Dosiou, C., Peeters, R. P., et al. (2017). 2017 Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid, 27(3), 315-389.
  6. Becker, D. V., Braverman, L. E., Delange, F., Dunn, J. T., Franklyn, J. A., Hollowell, J. G., et al. (2006). Iodine supplementation for pregnancy and lactation-United States and Canada: recommendations of the American Thyroid Association. Thyroid, 16(10), 949-951.

Total Articles Published

8
9
2


Total Citations:

1
8
4




Highlights


Cient Periodique is a ‘Gold’ open access publisher that aspires to offer absolute free, unrestricted access to the valuable research information

We welcome all the eminent authors to submit your valuable paper

Cient Periodique invites the participation of honourable Editors and Authors

CPQ Journals provide Certificates for publication

Cient Periodique also offers memberships for potential Authors

Best Articles will be appreciated with the provision of corresponding Certificate

Hi!

We're here to answer your questions!


Send us a message via Whatsapp, and we'll reply the moment we're available!