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Thyroid Disease Seems To Be Linked To Birth Defects.

Women's Health Weekly

| February 07, 2002 | COPYRIGHT 2002 NewsRX. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

2002 FEB 7 - (NewsRx.com & NewsRx.net) -- Women with thyroid disease are more likely to give birth to babies with heart, brain and kidney defects even if the thyroid function tests are normal during their pregnancy, according to new research from Johns Hopkins.

Results of the study, presented January 17, 2002, at the annual meeting of the Society for Maternal-Fetal Medicine in New Orleans, showed that babies born to women with overactive or underactive thyroid also were at increased risk for a variety of other anomalies, including cleft lip or palate, or extra fingers. In addition, infants born to women with underactive thyroid were at increased risk of cardiac problems even if the mothers were on medication.

The research contradicts some earlier studies indicating thyroid disease did not pose fetal risks, but those studies were conducted using less sophisticated technology for detecting birth defects, says David A. Nagey, MD, PhD, study coauthor and associate professor of gynecology and obstetrics.

"We already knew that there was an increased risk of problems, mostly intellectual or developmental, in children as a result of hypothyroid (underactive thyroid) pregnancies, but the link with birth defects is new and unexpected," Nagey says. "If these results are confirmed, it could lead to routine testing of women for thyroid disease prior to pregnancy and for cardiac anomalies in the fetuses of women with hypothyroidism."

Nagey recommends that doctors consider thyroid testing during a woman's prepregnancy consult or add it to the routine prenatal diagnostic tests. If the test indicates the woman has hypothyroidism, a fetal echocardiogram during the ...

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