{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:10:47Z","timestamp":1790892647158,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,9,26]],"date-time":"2014-09-26T00:00:00Z","timestamp":1411689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Small for gestational age (SGA) newborns constitute still a major cause of perinatal morbidity and mortality. Overt thyroid disease is a known cause of preterm birth and low birthweight but in its untreated condition it is rare today. In this study, we investigated the possible relation between maternal thyroid function assessed in euthyroid women at each trimester and the incidence of term born SGA neonates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A prospective cohort study was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>Thyroid function was assessed at 12, 24 and 36\u00a0weeks gestation in 1051 healthy Caucasian women who delivered at \u226537\u00a0weeks gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>One\u2010way <jats:sc>anova<\/jats:sc> was used to compare mean TSH and FT4 levels between women with SGA neonates and controls. Multiple logistic regression analysis was performed to adjust for known risk factors of SGA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy (6\u00b77%) SGA neonates were identified and they were significantly more often born to women with a TSH\u00a0\u2265\u00a097\u00b75th at first and third trimester. Multiple logistic regression analysis showed that smoking (OR: 4\u00b74, 95% CI: 2\u00b749\u20137\u00b764), pre\u2010eclampsia (OR: 2\u00b78, 95% CI: 1\u00b719\u20136\u00b778) and TSH\u00a0\u2265\u00a097\u00b75th percentile (OR 3\u00b73, 95% CI 1\u00b739\u20137\u00b753) were significantly related to SGA. Maternal FT4 levels and TPO\u2010Ab status were not associated with SGA offspring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our data show that TSH levels in the upper range of the reference interval at different trimesters (3\u00b70\u20133\u00b729\u00a0mIU\/l) are independently related to an increased risk of delivering SGA neonates at term.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cen.12578","type":"journal-article","created":{"date-parts":[[2014,8,7]],"date-time":"2014-08-07T12:55:06Z","timestamp":1407416106000},"page":"254-259","source":"Crossref","is-referenced-by-count":17,"title":["Maternal thyrotropin is independently related to Small for Gestational Age neonates at term"],"prefix":"10.1111","volume":"82","author":[{"given":"L.","family":"Monen","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Catharina Hospital Eindhoven Eindhoven The Netherlands"},{"name":"Department of Medical Health Psychology Tilburg University Tilburg The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.M.","family":"Kuppens","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Catharina Hospital Eindhoven Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.H.","family":"Hasaart","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Catharina Hospital Eindhoven Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.P.","family":"Oosterbaan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Jeroen Bosch Hospital Den Bosch \u2018s\u2010Hertogenbosch The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.G.","family":"Oei","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology MMC Hospital Veldhoven Veldhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Wijnen","sequence":"additional","affiliation":[{"name":"Midwifery Academy Maastricht Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.K.","family":"Hutton","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Michael G. DeGroote Centre for Learning McMaster University Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.L.","family":"Vader","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering University of Technology Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.J.","family":"Pop","sequence":"additional","affiliation":[{"name":"Department of Medical Health Psychology Tilburg University Tilburg The 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