Cited by 118Thyroid Disorders and TreatmentsClinical Laboratory Practices and Quality ControlPrenatal Screening and Diagnostics

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First- and second-trimester thyroid hormone reference data in pregnant women: a FaSTER (First- and Second-Trimester Evaluation of Risk for aneuploidy) Research Consortium study

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Lambert-Messerlian, Geralyn, McClain, Monica, Haddow, James E., Palomaki, Glenn E., Canick, Jacob A., Cleary-Goldman, Jane, Malone, Fergal D., Porter, T. Flint, Nyberg, David A., Bernstein, Peter, D'Alton, Mary E.·2008·American Journal of Obstetrics and Gynecology

DOI 10.1016/j.ajog.2007.12.003PMC PMC2529146

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Objective The purpose of this study was to calculate first and second trimester reference ranges and within-woman correlations for TSH, free T4, and thyroid antibodies.Study design TSH, free T4, and thyroid antibodies were measured in paired sera from 9562 women in the FaSTER trial of Down syndrome screening.Results The median first trimester TSH (1.05 mIU/L) is lower than the second (1.23 mIU/L); and 98th centile is higher (4.15 vs 3.77 mIU/L). Within-woman paired TSH correlations are moderately strong (r(2) = 0.64). Among women with first trimester TSH values above the 98th centile, second trimester values are over the 95th centile in 68%. Median first trimester free T4 values (1.10 ng/dL) are higher than second (1.01 ng/dL). Paired free T4 measurements correlate weakly (r(2) = 0.23). Among women with first trimester free T4 values below the 2nd centile, second trimester values are below the 5th centile in 32%. Antibody measurements correlate strongly between trimesters (thyroperoxidase r(2) = 0.79, thyroglobulin r(2) = 0.83).Conclusion TSH and free T4 measurements require gestation-specific reference ranges.

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Authors: Lambert-Messerlian, G., McClain, M., Haddow, J. E., Palomaki, G. E., Canick, J. A., Cleary-Goldman, J., Malone, F. D., Porter, T. F., Nyberg, D. A., Bernstein, P., & D'Alton, M. E.
Affiliations: Brown University (US)
Royal College of Surgeons in Ireland (IE)
Intermountain Healthcare (US)
Swedish Medical Center (US)
Albert Einstein College of Medicine (US)
Corresponding author: Haddow, James E.
ORCID: Lambert-Messerlian, Geralyn
Haddow, James E.
Palomaki, Glenn E.
Malone, Fergal D.
Bernstein, Peter
Venue: American Journal of Obstetrics and Gynecology
Publisher: Elsevier BV
Published: 2008-07
Volume: 199
Issue: 1
Pages: 62.e1-62.e6
ISSN: 0002-9378 (ISSN-L)
DOI: 10.1016/j.ajog.2007.12.003
PMC: PMC2529146
OpenAlex: W2091803917
Cited by: 118
References: 18
Citations by year: 2024: 2 · 2023: 2 · 2022: 5 · 2021: 3 · 2020: 1 · 2019: 5 · 2018: 7 · 2017: 12 · 2016: 9 · 2015: 10 · 2014: 9 · 2013: 8 · 2012: 11
FWCI: 8.23
Type: journal article
Language: en
Update notices: erratum (2008-09-01)
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD038652, R01 HD 38652)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
Health Sciences › Health Professions › Medical Laboratory Technology › Clinical Laboratory Practices and Quality Control
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
Keywords: thyroid function in pregnancy, thyroid-stimulating hormone, free thyroxine, thyroid autoantibodies, thyroid peroxidase antibodies, thyroglobulin antibodies, reference values, first trimester, second trimester, Down syndrome screening
MeSH terms: Adult, Autoantibodies, Female, Gestational Age, Humans, Pregnancy, Pregnancy Trimester, First, Pregnancy Trimester, Second, Reference Values, Thyrotropin, Thyroxine

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First- and second-trimester thyroid hormone reference data in pregnant women: a FaSTER (First- and Second-Trimester Evaluation of Risk for aneuploidy) Research Consortium study

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