Thyroid Disease in the Pregnancy and Congenital Malformations
of Newborns
Vargová V.1, Mechírová V.2, Pytliak, M.3, Tajtáková, M.2
1III. interná klinika FN LP a UP JŠ, Košice, prednosta doc. MUDr. P. Mitro, PhD. 2I. interná klinika FN LP a UP JŠ, Košice 3Ústav pre bakalárske a magisterské štúdiá, LF UP JŠ, Košice |
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Summary:
The aim: The aim of this study was to compare thyroidal status of mothers who delivered newborns with
morphological congenital malformations and mothers with healthy newborns.
Type of the study: One-time cross-sectional study.
Setting: 3rd internal clinic FN LP, Košice.
Methods: We examined 43 mothers with newborns born with congenital malformation and 76 mothers
with healthy newborns. The protocol included anamnesis, basic physical examination, ultrasonography
of the thyroid, assessment of the mothers’ plasma fT4, TSH and anti-TPO levels, and comparison of the
birth weight and birth length of the newborns. The results were statistically processed by PC programs
StatsDirect 2.6.2 and MS Excel 2000.
Results: The thyroid volume was significantly greater in mothers with newborns with congenital
malformation as in the control group (p<0.001). The birth weight and birth length was significantly lower
in newborns with malformations (p<0.0001 resp. p<0.001). We found no differences in the plasma levels
of fT4, TSH and anti-TPO between these groups.
Conclusion: Thyroid disease of the mother can contribute to the congenital malformations of the
newborn although there was found no direct association between mothers’ thyroid autoantibodies and
creation of congenital malformations of the child, yet.
Key words:
thyroid, congenital malformations, autoantibodies
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