Higher TSH levels in the first trimester of pregnancy are related to lower birth weight
Abstract
Abstract. To determine whether there was an association between birth weight and maternal thyroid function in the early first trimester. Early first trimester thyroid stimulating hormon (TSH) levels and birth weight percentiles of pregnants attending to our outpatient obstetrics clinic were searched retrospectively. Mothers of infants with small for gestational age (SGA) infants had statistically significantly higher mean TSH values when compared to mothers of infants with appropriate for gestational age (AGA) and large for gestational age (LGA) infants (2.5±8 and 1.7±1.5 respectively, p=0.007). Also, mothers of infants under 2500g weight had higher TSH values in the first trimester when compared to mothers of infants over 2500g weight (2±0.8 and 1.8±1.6 respectively, p=0.045). There was an association between high TSH levels in the early first trimester and low birth weight, screening of thyroid functions and treatment before pregnancy might be considered as a better policy.
Key words: TSH, small for gestational age, birth weight
Keywords
References
- Allan WC, Haddow JE, Palomaki GE, et al. Maternal thyroid deficiency and pregnancy complications: implications for population screening. J Med Screen 2000; 7: 127-130.
- Benhadi N, Wiersinga WM, Reitsma JB, Vrijkotte TG, Bonsel GJ. Higher maternal TSH levels in pregnancy are associated with increased risk for miscarriage, fetal or neonatal death. Eur J Endocrinol 2009; 160: 985-991.
- Haddow JE, Palomaki GE, Allan WC, et al. Maternal thyroid deficiency during pregnancy and subsequent neuropsychological development of the child. N Engl J Med 1999; 341: 549-555.
- Pop VJ, Brouwers EP, Vader HL, et al. Maternal hypothyroxinaemia during early pregnancy and subsequent child development: a 3-year follow-up study. Clin Endocrinol (Oxf) 2003; 59: 282-288.
- Abalovich M, Amino N, Barbour LA, et al. Management of thyroid dysfunction during pregnancy and postpartum: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2007; 92: S1-47.
- Vaidya B, Anthony S, Bilous M, et al. Detection of thyroid dysfunction in early pregnancy: Universal screening or targeted high-risk case finding? J Clin Endocrinol Metab 2007; 92: 203-207.
- Horacek J, Spitalnikova S, Dlabalova B, et al. Universal screening detects two-times more thyroid disorders in early pregnancy than targeted high-risk case finding. Eur J Endocrinol 2010; 163: 645-650.
- Rivkees SA, Bode HH, Crawford JD. Long-term growth in juvenile acquired hypothyroidism: the failure to achieve normal adult stature. N Engl J Med 1988; 318: 599-602.
Details
Primary Language
English
Subjects
-
Journal Section
-
Authors
Gönenç Gökçenur
This is me
İşçi Herman
This is me
Başgül Yiğiter, Alin
This is me
Dünder İlkkan
This is me
Publication Date
March 14, 2014
Submission Date
November 17, 2012
Acceptance Date
-
Published in Issue
Year 1970 Volume: 18 Number: 4