Relationship between infant hypothyroidism and maternal thyroid disease
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20233073Keywords:
Hypotension, Neonatal hypothyroidism, TSHAbstract
Background: Due to the very high complications of neonatal hypothyroidism in the country, neonatal screening program is performed for timely diagnosis and treatment of neonates. The aim of this study to investigate the relationship between infant hypothyroidism and maternal thyroid disease.
Methods: This cross-sectional study was done on 195 neonates with a diagnosis of hypothyroidism. Necessary data were collected by a checklist and then analyzed by statistical methods in statistical package for the social sciences (SPSS) version 21 by statistical methods.
Results: Of all mothers, 21.0% had a history of thyroid disease. There was no statistically significant relationship between maternal age and infant thyroid stimulating hormone (TSH). There was no significant relationship between the history of maternal hypothyroidism and maternal hypothyroidism (during experiments) with the amount of TSH in the newborn. There was a direct and significant relationship between maternal TSH level and maternal free T4. But there was no statistically significant relationship between infant TSH level and maternal TSH level and free T4. There was no significant difference in neonatal TSH levels with maternal anti-TPO status. There was no significant relationship between the history of maternal diabetes and the history of maternal hypertension with neonatal TSH. There was no significant difference in neonatal TSH levels by maternal thyroid status.
Conclusions: In the present study, no significant relationship was found between the incidence of neonatal hypothyroidism and the presence of thyroid disease in mothers. The existence of different genetic and environmental factors and the significant impact of each of these factors can justify this result.
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References
Gaitonde D, Rowley K, Sweeney L. Hypothyroidism: an update. South Afr Fam Pract. 2012;5(4):384-90.
Worth C, Hird B, Tetlow L, Wright N, Patel L, Banerjee I. Thyroid scintigraphy differentiates subtypes of congenital hypothyroidism. Arch Dis Child. 2021;106(1):77-9.
Mirzarahimi M, Barak M, Mardi A, Enteshari-Moghaddam A. Screening for congenital hypothyroidism: results of screening 5600 Ardabil province infants. Int J Scientif Rep. 2017;3(11):280-4.
Kalantari S. Neonatal screening for congenital hypothyroidism (CH) in Rasht. J Guilan Univ Med Sci. 2008;13(50):76-80.
Kliegman S. Nelson Textbook of Pediatrics. Elsevier. 2016;29-36.
Cleary-Goldman M, Fergal D. Maternal Thyroid Hypofunction and Pregnancy Outcome. Obstet Gynecol. 2008;11(2):85-92.
Shraga Blazer M, Moreh-Waterman Y. Maternal Hypothyroidism May Affect Fetal Growth and Neonatal Thyroid Function. The American College of Obstetricians and Gynecologists Published by Elsevier. 2003;1(2):126-37.
Zegers-Hochschild F, Adamson GD, Dyer S. The international glossary on infertility and fertility care. Hum Reprod. 2009;3(2):1786-801.
Mascarenhas MN, Flexman SR, Boerma T. National, regional, and global trands in infertility prevalance since 1990: asytematic analysis of 277 health surveys. PLoS Med. 2012;9(2):13-26.
Datta J, Palmer MJ, Tanton C. Prevalence of infertility and help seeking among 15.000 women and men. Hum Reprod. 2016;3(1):210-18.
Evers JLH. Female subfertility. Lancet. 2002;3(6):151-9.
Thonneau P, Marchand S, Tallec A, et al. Incidence and main causes of infertility in a resident population of three French regions. Hum Reprod. 1991;6(3):811-6.
World Health Organization. WHO Technical Report Series. Recent advances in medically assisted conception number 820. 1992;1-111. Available at: https://apps.who.int/iris/handle/10665/38679. Accessed on 24 March 2023.
Alexander EK, Elizabeth N, Pearce EN. Guidelines of the American thyroid association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid. 2017;2(7):315-89.
Subclinical hypothyroidism in the infertile female population: a guideline. Practice Committee of the American Society for Reproductive Medicine. Fertil Steril. 2015;10(4):545-55.
Hollowell JG, Staehling NW, Flanders DW. Serum TSH, T(4), and thyroid antibodies in the United States population (1988 to 1994): national health and nutrition examination survey (NHANES III). J Clin Endocrinol Metab. 2002;8(7):489-99.
Poppe K, Glinoer D, Van Steirteghem A. Thyroid dysfunction and autoimmunity in infertile women. Thyroid. 2002;1(2):997-1001.
Iravani AT, Saeedi MM, Pakravesh J. Thyroid autoimmunity and recurrent spontaneous abortion in Iran: a case-control study. Endocr Pract. 2008;1(4):458-64.
Kutteh WH, Schoolcraft WB, Scott Jr RT. Antithyroid antibodies do not affect pregnancy outcome in women undergoing assisted reproduction. Hum Reprod. 1999;1(4):2886-90.
Aghajanova L, Lindeberg M, Carlsson IB. Receptors for thyroid-stimulating hormone and thyroid hormones in human ovarian tissue. Reprod Biomed Online. 2009;1(8):337-47.
Medda E, Olivieri A, Stazi MA, Grandolfo ME, Fazzini. Risk factors for congenital hypothyroidism: results of a population case-control study (1997–2003). Eur J Endocrinol. 2004;153(6):765-73.
Esmailnasab N, Moasses ghaffari B, Afkhamzadeh A. Investigation of the risk factors for congenital hypothyroidism in the newborns in Kurdistan Province. SJKU. 2012;17(4):103-8.
Hasani N, Dehghan B, Amini M, Heidari K, Sajadi A, Ajami A, et al. Congenital Hypothyroidism; is There any Familial Component? J Isfahan Med School. 2009;2(7):135-42.
Harris KB, Pass KA. Increase in congenital hypothyroidism in New York State and in the United States. Mol Genet Metab. 2007;9(1):268-77.
Medda E, Olivieri A, Stazi MA, Grandolfo ME, Fazzini C, Baserga M, et al. Risk factors for congenital hypothyroidism: results of a population case-control study (1997-2003). Eur J Endocrinol. 2005;15(3):765-73.
Ordookhani A, Hedayati M, Mirmiran P, Eini E, Sabet Saeidi H, Azizi F. Etiologies of transient congenital hypothyroidism in Tehran and Damavand. Iranian J Endocrinol Metab. 2004;6(1):113-7.
Ozdemir H, Akman I, Coskun S, Demirel U, Turan S, Bereket A. Maternal thyroid dysfunction and neonatal thyroid problems. Int J Endocrinol. 2013;20(3):78-98.
Zhou J, Luo L, Zhao J, Wang J, Lin F, Zhang H, et al. Risk factors of 125 cases of neonatal congenital hypothyroidism during perinatal period. Zgonghua Liu Xing Bing Xue Za Zhi J. 2015;36(7):747-51.
Medda E, Olivieri A, Stazi MA, Grandolfo ME, Fazzini C, Baserga M, et al. Risk factors for congenital hypothyroidism: results of a population case-control study (1997-2003). Eur J Endocrinol. 2005;15(3):765-73.
Harris KB, Pass KA. Increase in congenital hypothyroidism in New York State and in the United States. Mol Genet Metab. 2007;9(1):268-77.
Hinton CF, Harris KB, Borgfeld L, Drummond-Borg M, Eaton R, Lorey F, et al. Trends in incidence rates of congenital hypothyroidism related to select demographic factors: data from the United States, California, Massachusetts, New York, and Texas. Pediatrics. 2010;12(5):37-47.