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Maternal thyroid deficiency and pregnancy complications: implications for population screening

Allan, W.C., Haddow, J.E., Palomaki, G.E., Williams, J.R., Mitchell, M.L., Hermos, R.J., Faix, J.D., Klein, R.Z.·2000·Journal of Medical Screening

Abstract

Objective To examine the relation between certain pregnancy complications and thyroid stimulating hormone (TSH) measurements in a cohort of pregnant women. Methods TSH was measured in sera obtained from women during the second trimester as part of routine prenatal care. Information was then collected about vaginal bleeding, premature delivery, low birthweight, abruptio placentae, pregnancy induced hypertension, need for cesarean section, low Apgar scores, and fetal and neonatal death. Results Among 9403 women with singleton pregnancies, TSH measurements were 6 mU/l or greater in 209 (2.2%). The rate of fetal death was significantly higher in those pregnancies (3.8%) than in the women with TSH less than 6 mU/l (0.9%, odds ratio 4.4, 95% confidence interval 1.9–9.5). Other pregnancy complications did not occur more frequently Conclusion From the second trimester onward, the major adverse obstetrical outcome associated with raised TSH in the general population is an increased rate of fetal death. If thyroid replacement treatment avoided this problem this would be another reason to consider population screening.

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Metadata

Authors
Allan, W. C., Haddow, J. E., Palomaki, G. E., Williams, J. R., Mitchell, M. L., Hermos, R. J., Faix, J. D., & Klein, R. Z.
Venue
Journal of Medical Screening
Published
2000-09-01
Volume
7
Issue
3
Pages
127-130
ISSN
  • 0969-1413 (ISSN-L)
  • 1475-5793
OpenAlex
W2107997370
Cited by
639
References
2
FWCI
5.89
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Maternal thyroid deficiency and pregnancy complications: implications for population screening. https://app.cochat.ai/papers/10.1136/jms.7.3.127
The paper
Allan, W. C., Haddow, J. E., Palomaki, G. E., Williams, J. R., Mitchell, M. L., Hermos, R. J., Faix, J. D., & Klein, R. Z. (2000). Maternal thyroid deficiency and pregnancy complications: implications for population screening. Journal of Medical Screening. https://doi.org/10.1136/jms.7.3.127

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