A study to establish gestation-specific reference intervals for thyroid function tests in normal singleton pregnancy

Eur J Obstet Gynecol Reprod Biol. 2008 Mar;137(1):61-6. doi: 10.1016/j.ejogrb.2007.10.007.

Abstract

Objective: To establish gestation-specific reference intervals for thyroid function tests in normal singleton pregnancy.

Study design: Cross-sectional observational study performed in the Obstetric and Gynaecology department, West Middlesex University Hospital. A single blood sample from 335 pregnant women at various gestations of pregnancy was analysed for thyroid function. FT4, fT3, TSH values at each gestation of pregnancy were calculated.

Results: From the fT3, fT4 and TSH results, a 95% reference interval was calculated for each hormone for each week of pregnancy.

Conclusion: We calculated gestation-specific reference intervals for thyroid function tests throughout pregnancy to facilitate clinical management of thyroid disease in pregnancy.

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Female
  • Humans
  • Hyperthyroidism / blood
  • Hyperthyroidism / diagnosis
  • Hyperthyroidism / prevention & control
  • Middle Aged
  • Pregnancy
  • Pregnancy Complications / blood
  • Pregnancy Complications / diagnosis
  • Pregnancy Complications / prevention & control
  • Reference Values
  • Thyroid Function Tests / standards*
  • Thyroid Gland / metabolism*
  • Thyrotropin / blood*
  • Thyroxine / blood*
  • Triiodothyronine / blood*

Substances

  • Triiodothyronine
  • Thyrotropin
  • Thyroxine