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Associations between thyroid autoantibody status and abnormal pregnancy outcomes in euthyroid women

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Abstract

We investigated whether thyroid autoantibody status influences pregnancy outcomes in euthyroid women, by comparing abnormal pregnancy outcome rates between those who tested positive for thyroid autoantibodies (Ab+) and those who tested autoantibody-negative (Ab−). Euthyroid pregnant women (n = 7,641) underwent tests for serum thyroid peroxidase antibody (TPOAb) and thyroglobulin antibody (TgAb). The subjects were divided into 4 groups according to thyroid antibody status: TPOAb−/TgAb− (92.9 %); TPOAb+/TgAb− (3.2 %); TPOAb−/TgAb+ (2.0 %); and TPOAb+/TgAb+ (1.9 %). The incidence rates of the following abnormal pregnancy outcomes were compared among the 4 groups and analyzed by Fisher’s exact test: gestational diabetes, gestational hypertension, placenta previa, placental abruption, premature rupture of fetal membrane (PROM), intrauterine growth restriction, fetal distress, fetal anomalies, stillbirth, preterm birth, and low birth weight. Among the 4 groups, there were no significant differences in age, gestational age, or in the incidence rates of abnormal pregnancy outcomes, except for PROM and low birth weight. The highest incidence rates for PROM and low birth weight were in the TPOAb−/TgAb+ and TPOAb+/TgAb+ subjects, respectively. TgAb positivity and TPOAb positivity were associated with PROM and low birth weight, respectively. Underlying factors that govern the association between thyroid autoantibodies and PROM and low birth weight require further investigation.

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Acknowledgments

This study was supported by Medical Science Research Foundation of Zhejiang Province (No. 2009A198), and the Third Batch of Science and Technology Project of Rui’an city (No. 20093092).

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Authors and Affiliations

  1. Department of Endocrinology, Third Affiliated Hospital of Wenzhou Medical University, 108 Wansong Road, Rui’an, 325200, Zhejiang, China

    Liang-Miao Chen, Qing-Shou Chen, En-ling Ye, Le-Chu Yu, Meng-Meng Peng, Hong Yang, Wen-Jun Du & Xue-Mian Lu

  2. Rui’an Center of the Chinese-American Research Institute for Diabetic Complications, Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325200, China

    Liang-Miao Chen, En-ling Ye, Le-Chu Yu, Meng-Meng Peng, Hong Yang, Chi Zhang & Xue-Mian Lu

  3. Chinese-American Research Institute for Diabetic Complications, Wenzhou Medical University, Wenzhou, 325035, China

    Chi Zhang & Xue-Mian Lu

  4. ICU, Taizhou First People’s Hospital, Taizhou, 318020, Zhejiang, China

    Qian Zhang

  5. Department of Endocrinology, Jining First People’s Hospital, Jining, 272011, Shandong, China

    Guang-Xin Si

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  1. Liang-Miao Chen
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  2. Qian Zhang
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  3. Guang-Xin Si
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  4. Qing-Shou Chen
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  5. En-ling Ye
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  8. Hong Yang
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  9. Wen-Jun Du
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  10. Chi Zhang
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  11. Xue-Mian Lu
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Corresponding authors

Correspondence to Chi Zhang or Xue-Mian Lu.

Additional information

Liang-Miao Chen and Qian Zhang contributed equally to this study.

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Chen, LM., Zhang, Q., Si, GX. et al. Associations between thyroid autoantibody status and abnormal pregnancy outcomes in euthyroid women. Endocrine 48, 924–928 (2015). https://doi.org/10.1007/s12020-014-0420-x

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  • DOI: https://doi.org/10.1007/s12020-014-0420-x

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