AI Article Synopsis

  • The study examined thyroid functions and levels in 150 pregnant Egyptian women across all three trimesters, comparing them to a control group of non-pregnant women.
  • Serum thyroid stimulating hormone (TSH) levels were significantly lower in pregnant women than in non-pregnant women, with trimester-specific TSH reference ranges established.
  • Thyroid peroxidase antibodies (TPO Abs) were highest in the first trimester and decreased in subsequent trimesters, while thyroid volume was slightly higher but not significantly compared to controls, and positively correlated with body mass index.

Article Abstract

The normal range of thyroid functions during pregnancy differs between ethnic groups. This study assessed the thyroid functions in normal pregnant Egyptian females. Thyroid peroxidase antibodies (TPO Abs) and thyroid volume were also assessed. The study included 150 normal pregnant Egyptian females, recruited from Cairo University Hospital Antenatal Care Clinic (50 in each trimester), with 40 age-matched non-pregnant females, as a control group. Serum thyroid stimulating hormone (TSH) and TPO Abs were measured. Thyroid volume was assessed by ultrasonography. TSH ranges were 0.21-1.7, 0.52-3.2 and 0.72-2.6 mIU/L during first, second and third trimesters, respectively. The mean TSH level in pregnant females was significantly lower than that of non-pregnant women (1.2 ± 0.7 vs 2.7 ± 0.9 mIU/L,  < .001). TPO Abs were significantly higher in the first trimester compared to both second and third trimesters ( < .001 for both). Thyroid volume of pregnant females was non-significantly higher than that of non-pregnant control subjects ( = .126). A significant positive correlation was found between thyroid volume and body mass index in pregnant females ( < 0.001). Our study established trimester-specific reference ranges for thyroid functions in normal pregnant Egyptian females. A larger population-based study would help to confirm those ranges. Thyroid volume was non-significantly higher than that of non-pregnant control subjects.

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http://dx.doi.org/10.1080/09513590.2019.1631279DOI Listing

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