Maternal overt hypothyroidism and neurobehavioral outcome of neonates: A cohort study from an iodine-deficient area of Northern India

Objective To study the relation between maternal overt hypothyroidism and neurodevelopmental outcome of neonates in iodine-deficient region of Northern India (Kashmir Valley). Design Prospective cohort study. Setting Endocrinology department of a tertiary-care hospital. Participants 82 hypothyroid p...

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Veröffentlicht in:Indian pediatrics 2015-10, Vol.52 (10), p.864-866
Hauptverfasser: Ganaie, Mohammad Ashraf, Charoo, Bashir A., Sofi, Riyaz Ahmad, Ahmed, Asif, Bhat, Javeed Iqbal
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container_end_page 866
container_issue 10
container_start_page 864
container_title Indian pediatrics
container_volume 52
creator Ganaie, Mohammad Ashraf
Charoo, Bashir A.
Sofi, Riyaz Ahmad
Ahmed, Asif
Bhat, Javeed Iqbal
description Objective To study the relation between maternal overt hypothyroidism and neurodevelopmental outcome of neonates in iodine-deficient region of Northern India (Kashmir Valley). Design Prospective cohort study. Setting Endocrinology department of a tertiary-care hospital. Participants 82 hypothyroid pregnant women were enrolled and followed up till delivery. The neonates born to this group represented the case neonates. 51 euthyroid healthy pregnant women were selected as control group. The neonates born to these mothers served as controls. Main outcome measures Early neonatal behavioral assessment at 3-4 weeks of age. Results The mean TSH and free T4 in neonates of mothers with well controlled hypothyroidism was significantly different from those born to mothers with poorly controlled hypothyroidism and controls in 1st trimester, but the difference was statistically insignificant for 2nd and 3rd trimester values. Conclusion Overt maternal hypothyroidism in iodine-deficient area constitutes a risk factor for an abnormal neurobehavioral development of affected child.
doi_str_mv 10.1007/s13312-015-0733-8
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Design Prospective cohort study. Setting Endocrinology department of a tertiary-care hospital. Participants 82 hypothyroid pregnant women were enrolled and followed up till delivery. The neonates born to this group represented the case neonates. 51 euthyroid healthy pregnant women were selected as control group. The neonates born to these mothers served as controls. Main outcome measures Early neonatal behavioral assessment at 3-4 weeks of age. Results The mean TSH and free T4 in neonates of mothers with well controlled hypothyroidism was significantly different from those born to mothers with poorly controlled hypothyroidism and controls in 1st trimester, but the difference was statistically insignificant for 2nd and 3rd trimester values. 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Design Prospective cohort study. Setting Endocrinology department of a tertiary-care hospital. Participants 82 hypothyroid pregnant women were enrolled and followed up till delivery. The neonates born to this group represented the case neonates. 51 euthyroid healthy pregnant women were selected as control group. The neonates born to these mothers served as controls. Main outcome measures Early neonatal behavioral assessment at 3-4 weeks of age. Results The mean TSH and free T4 in neonates of mothers with well controlled hypothyroidism was significantly different from those born to mothers with poorly controlled hypothyroidism and controls in 1st trimester, but the difference was statistically insignificant for 2nd and 3rd trimester values. 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source MEDLINE; Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Cohort Studies
Cross-Sectional Studies
Developing Countries
Female
Goiter, Endemic - diagnosis
Goiter, Endemic - epidemiology
Humans
Hypothyroidism - diagnosis
Hypothyroidism - epidemiology
India
Infant, Newborn
Infant, Newborn, Diseases - diagnosis
Infant, Newborn, Diseases - epidemiology
Iodine - deficiency
Maternal and Child Health
Medicine
Medicine & Public Health
Neurodevelopmental Disorders - diagnosis
Neurodevelopmental Disorders - epidemiology
Pediatric Surgery
Pediatrics
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - epidemiology
Prospective Studies
Reference Values
Research Paper
Thyroid Function Tests
title Maternal overt hypothyroidism and neurobehavioral outcome of neonates: A cohort study from an iodine-deficient area of Northern India
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