Thyroid Disorders Tied to Complications in Pregnancy

Up to 4 percent of pregnancies involve mothers with thyroid conditions, study authors say

By Mary Elizabeth Dallas

Wednesday, May 29, 2013

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WEDNESDAY, May 29 (HealthDay News) -- Pregnant women with thyroid disorders are at greater risk for premature delivery and other pregnancy complications, a new study indicates.
Researchers caution that these complications could have both short-term and long-term health consequences for women and their babies. Thyroid disease occurs when the thyroid gland -- located at the front of the neck -- doesn't supply the proper amount of hormones needed by the body.
"In the United States, at least 80,000 pregnant women each year have thyroid diseases," study lead author, Dr. Tuija Mannisto, of the U.S. National Institute of Child Health and Human Development (NICHD), said in a news release from the Endocrine Society.
"These women are at increased risk of having serious adverse pregnancy outcomes, including hypertension and preterm birth. They also have a higher rate of labor inductions and other birth interventions," Mannisto explained.
In conducting the study, the researchers examined medical records from more than 223,000 pregnancies. The investigators found that women with thyroid conditions were more likely to develop preeclampsia, a complication marked by protein in the urine and a sharp rise in blood pressure during pregnancy. These women were also admitted to the intensive care unit more often, were more likely to develop gestational diabetes and had a higher rate of cesarean deliveries.
"Women need appropriate thyroid hormone levels to support a healthy pregnancy, so it is very important to carefully monitor expecting mothers who have thyroid diseases," said one of the study's authors, Pauline Mendola, from the NICHD. "We also need more research to identify ways to reduce the risks these women currently face."
Although the study found an association between having a thyroid condition and higher risk of pregnancy complications, it did not establish a cause-and-effect relationship.
The study appears in the current issue of the Journal of Clinical Endocrinology & Metabolism.

SOURCE: The Endocrine Society, news release, May 29, 2013

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