Hashimoto’s, Hypothyroidism and Risk of Miscarriage

In today’s broadcast we will be further exploring relationships between thyroid disorders and miscarriage. Specifically we will be discussing current concepts regarding more stringent criteria for TSH evaluation in pregnant females, the role of thyroid antibodies alone in affecting recurrent miscarriages, and novel treatments for these issues.

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1.Effect of levothyroxine on live birth rate in euthyroid women with recurrent miscarriage and TPO antibodies (T4-LIFE study).
Vissenberg R, van Dijk MM, Fliers E, van der Post JAM, van Wely M, Bloemenkamp KWM, Hoek A, Kuchenbecker WK, Verhoeve HR, Scheepers HCJ, Rombout-de Weerd S, Koks C, Zwart JJ, Broekmans F, Verpoest W, Christiansen OB, Post M, Papatsonis DNM, Verberg MFG, Sikkema J, Mol BW, Bisschop PH, Goddijn M.
Contemp Clin Trials. 2015 Sep;44:134-138. doi: 10.1016/j.cct.2015.08.005. Epub 2015 Aug 5.
PMID: 26255238 [PubMed]
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2.Live-birth rate in euthyroid women with recurrent miscarriage and thyroid peroxidase antibodies.
Vissenberg R, Fliers E, van der Post JA, van Wely M, Bisschop PH, Goddijn M.
Gynecol Endocrinol. 2016;32(2):132-5. doi: 10.3109/09513590.2015.1092513. Epub 2015 Oct 2.
PMID: 26430806 [PubMed – indexed for MEDLINE]
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3.Thyroid peroxidase autoantibodies and perinatal depression risk: A systematic review.
Dama M, Steiner M, Lieshout RV.
J Affect Disord. 2016 Jul 1;198:108-21. doi: 10.1016/j.jad.2016.03.021. Epub 2016 Mar 9. Review.
PMID: 27011366 [PubMed – indexed for MEDLINE]
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4.Anti-TPO antibodies diffusion through the placental barrier during pregnancy.
Seror J, Amand G, Guibourdenche J, Ceccaldi PF, Luton D.
PLoS One. 2014 Jan 31;9(1):e84647. doi: 10.1371/journal.pone.0084647. eCollection 2014.
PMID: 24497920 [PubMed – indexed for MEDLINE] Free PMC Article
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5.Pathophysiological aspects of thyroid hormone disorders/thyroid peroxidase autoantibodies and reproduction.
Vissenberg R, Manders VD, Mastenbroek S, Fliers E, Afink GB, Ris-Stalpers C, Goddijn M, Bisschop PH.
Hum Reprod Update. 2015 May-Jun;21(3):378-87. doi: 10.1093/humupd/dmv004. Epub 2015 Jan 28. Review.
PMID: 25634660 [PubMed – indexed for MEDLINE]
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6.Optimal management of hypothyroidism, hypothyroxinaemia and euthyroid TPO antibody positivity preconception and in pregnancy.
Chan S, Boelaert K.
Clin Endocrinol (Oxf). 2015 Mar;82(3):313-26. doi: 10.1111/cen.12605. Epub 2014 Oct 28. Review.
PMID: 25200555 [PubMed – indexed for MEDLINE]
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7.[Comparison of the effect of different diagnostic criteria of subclinical hypothyroidism and positive TPO-Ab on pregnancy outcomes].
He Y, He T, Wang Y, Xu Z, Xu Y, Wu Y, Ji J, Mi Y.
Zhonghua Fu Chan Ke Za Zhi. 2014 Nov;49(11):824-8. Chinese.
PMID: 25603906 [PubMed – indexed for MEDLINE]
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8.Treatment of recurrent pregnancy loss by Levothyroxine in women with high Anti-TPO antibody.
Mosaddegh MH, Ghasemi N, Jahaninejad T, Mohsenifar F, Aflatoonian A.
Iran J Reprod Med. 2012 Jul;10(4):373-6.
PMID: 25246900 [PubMed] Free PMC Article
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9.Anti-thyroid peroxidase antibody positivity during early pregnancy is associated with pregnancy complications and maternal morbidity in later life.
Bhattacharyya R, Mukherjee K, Das A, Biswas MR, Basunia SR, Mukherjee A.
J Nat Sci Biol Med. 2015 Jul-Dec;6(2):402-5. doi: 10.4103/0976-9668.160021.
PMID: 26283839 [PubMed] Free PMC Article
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10.Positive thyroid peroxidase antibody titer is associated with dysphoric moods during pregnancy and postpartum.
Groer MW, Vaughan JH.
J Obstet Gynecol Neonatal Nurs. 2013 Jan-Feb;42(1):E26-32. doi: 10.1111/j.1552-6909.2012.01425.x. Epub 2012 Nov 20.
PMID: 23167615 [PubMed – indexed for MEDLINE] Free PMC Article
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11.Maternal thyroid autoantibody and elevated risk of autism in a national birth cohort.
Brown AS, Surcel HM, Hinkka-Yli-Salomäki S, Cheslack-Postava K, Bao Y, Sourander A.
Prog Neuropsychopharmacol Biol Psychiatry. 2015 Mar 3;57:86-92. doi: 10.1016/j.pnpbp.2014.10.010. Epub 2014 Oct 29.
PMID: 25445476 [PubMed – indexed for MEDLINE] Free PMC Article
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12.Women with Subclinical Hypothyroidism Are at Low Risk of Poor Pregnancy Outcome in Japan.
Furukawa S, Miyakawa K, Shibata J, Iwashita M.
Tohoku J Exp Med. 2017;242(3):167-172. doi: 10.1620/tjem.242.167.
PMID: 28690281 [PubMed – in process] Free Article
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13.Prevalence of Thyroid Peroxidase Antibody and Pregnancy Outcome in Euthyroid Autoimmune Positive Pregnant Women from a Tertiary Care Center in Haryana.
Rajput R, Yadav T, Seth S, Nanda S.
Indian J Endocrinol Metab. 2017 Jul-Aug;21(4):577-580. doi: 10.4103/ijem.IJEM_397_16.
PMID: 28670543 [PubMed – in process] Free PMC Article
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14.Outcome of in vitro fertilization in women with subclinical hypothyroidism.
Cai Y, Zhong L, Guan J, Guo R, Niu B, Ma Y, Su H.
Reprod Biol Endocrinol. 2017 May 25;15(1):39. doi: 10.1186/s12958-017-0257-2.
PMID: 28545515 [PubMed – in process] Free PMC Article
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Morchiladze N, Tkeshelashvili B, Gagua T, Gagua D.
Georgian Med News. 2017 Mar;(264):21-25.
PMID: 28480843 [PubMed – in process]
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16.A Retrospective Study on the Association between Thyroid Autoantibodies with ?2-glycoprotein and Cardiolipin Antibodies in Recurrent Miscarriage.
Promberger R, Walch K, Seemann R, Pils S, Ott J.
Iran J Allergy Asthma Immunol. 2017 Feb;16(1):72-76.
PMID: 28417627 [PubMed – in process] Free Article
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17.Patients with subclinical hypothyroidism before 20 weeks of pregnancy have a higher risk of miscarriage: A systematic review and meta-analysis.
Zhang Y, Wang H, Pan X, Teng W, Shan Z.
PLoS One. 2017 Apr 17;12(4):e0175708. doi: 10.1371/journal.pone.0175708. eCollection 2017. Review.
PMID: 28414788 [PubMed – indexed for MEDLINE] Free PMC Article
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18.Effects of Levothyroxine on Pregnancy Outcomes in Women With Thyroid Dysfunction: A Meta-analysis of Randomized Controlled Trials.
Li J, Shen J, Qin L.
Altern Ther Health Med. 2017 Mar;23(2):49-58.
PMID: 28323629 [PubMed – in process]
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19.Correlation of enhanced oxidative stress with altered thyroid profile: Probable role in spontaneous abortion.
Ramandeep K, Kapil G, Harkiran K.
Int J Appl Basic Med Res. 2017 Jan-Mar;7(1):20-25. doi: 10.4103/2229-516X.198514.
PMID: 28251103 [PubMed – in process] Free PMC Article
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20.Effects of levothyroxine treatment on pregnancy outcomes in pregnant women with autoimmune thyroid disease.
Nazarpour S, Ramezani Tehrani F, Simbar M, Tohidi M, Alavi Majd H, Azizi F.
Eur J Endocrinol. 2017 Feb;176(2):253-265. doi: 10.1530/EJE-16-0548. Epub 2016 Nov 22.
PMID: 27879326 [PubMed – indexed for MEDLINE]
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