Startseite Maternal factors and complications of preterm birth associated with neonatal thyroid stimulating hormone
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Maternal factors and complications of preterm birth associated with neonatal thyroid stimulating hormone

  • Kelli K. Ryckman EMAIL logo , Cassandra N. Spracklen , John M. Dagle und Jeffrey C. Murray
Veröffentlicht/Copyright: 22. Mai 2014

Abstract

Thyroid hormones are important regulators of fetal neurodevelopment. Among preterm infants, thyroid stimulating hormone (TSH) is highly variable. Understanding this variability will further improvements in screening for thyroid disorders in preterm infants. We examined 61 maternal and infant clinical and demographic factors for associations with neonatal TSH levels in 698 preterm neonates. TSH was measured as part of routine State-mandated newborn screening in Iowa. Of the maternal characteristics, nulliparous women (p=8×10–4), women with preeclampsia (p=2×10–3), and those with induced labor (p=3×10–3) had infants with higher TSH levels. TSH levels at the time of newborn screening were associated with respiratory distress syndrome (RDS) (p<0.0001) and sepsis (p=3×10–3). We replicated findings between parity and preeclampsia previously observed in primarily term infants. We also observed strong relationships between neonatal TSH and complications of prematurity including RDS and sepsis, which have implications for future studies examining this relationship both prenatally and longitudinally after birth.


Corresponding author: Kelli K. Ryckman, PhD, Assistant Professor, Department of Epidemiology, College of Public Health, University of Iowa, 105 River St, S414 CPHB, Iowa City, IA 52242, USA, Phone: +319-384-1546, E-mail:

Acknowledgments

We would like to express our thanks to all the participating families in our study. We would also like to express our gratitude to the coordinating medical and research staff at the University of Iowa Hospitals and Clinics in Iowa City, IA, USA; including a special thanks to research coordinators Laura Knosp and Susan Berends. We would also like to thank Franklin Delin, Dariush Shirazi, and Stanton Berberich from the State Hygienic Laboratory for their assistance in the acquisition of the newborn screening data.

Conflict of interest statement

Authors Disclosure Statement: No competing financial interests exist.

Financial Statement: This work was supported by the March of Dimes (1-FY05-126 and 6-FY08-260), National Institutes of Health, and Eunice Kennedy Shriver National Institute of Child Health & Human Development (R01 HD-52953, R01 HD-57192, and R00 HD-065786). The content is solely the responsibility of the authors and does not necessarily represent the official views of the Eunice Kennedy Shriver National Institute of Child Health & Human Development or the National Institutes of Health.

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Received: 2013-9-10
Accepted: 2014-4-22
Published Online: 2014-5-22
Published in Print: 2014-9-20

©2014 by De Gruyter

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