BMC conducts high rates of thyroid testing in pregnant women, study finds
A recent study completed by researchers from Boston University School of Medicine (BUSM) and Boston Medical Center (BMC) demonstrates that BMC conducts a high rate of thyroid function testing in pregnant women. The retrospective study, which is currently published online in the Journal of Clinical Endocrinology & Metabolism, showed that if BMC had not done routine thyroid testing on pregnant women, approximately 80 percent of cases of mild hypothyroidism (a condition whereby the thyroid does not produce enough thyroid hormone) would not have been detected.
It is known that the thyroid hormone is important for child development in the womb. However, while there are observational studies that show that even slight maternal hypothyroidism is associated with adverse obstetric outcomes and lower child IQ, there is currently no interventional study to show whether treatment for mild hypothyroidism will lead to better outcomes. This lack of information has caused controversy about whether universal thyroid stimulating hormone (TSH) screening is necessary in pregnancy.
Done under the direction of Elizabeth Pearce, MD, MSc, an associate professor of medicine at BUSM, and Donny Chang, MD, PhD, an endocrine fellow at BMC, the team looked at the medical charts of 1,000 pregnant women to determine when and if they received a TSH test during their first prenatal care visit at BMC. The women involved in the study, who were between the ages of 18 and 46, went for their first prenatal visit at either BMC's department of Obstetrics & Gynecology or Family Medicine in 2008. The women's age, race, insurance, gestational age, medical history (thyroid or other autoimmune disorders), obstetric history and thyroid function tests were ascertained.
The results of the study showed that BMC had a higher rate of testing than previously published surveys. While BMC did not conduct universal TSH screenings, they did conduct routine tests for women with no risk factors for hypothyroidism a group who would normally not be tested under some current guidelines.
"Due to the fact that there are conflicting guidelines, we were surprised to find a high rate of testing here at BMC," said Pearce, from the section of Endocrinology, Diabetes & Nutrition at BMC. "Had BMC not conducted routine testing, there is the potential that many women with mild hypothyroidism would not have been identified."
Provided by Boston University Medical Center
- Hashimoto's thyroiditis can affect quality of life Feb 25, 2011 | not rated yet | 0
- Low thyroid function common in chronic kidney disease Jun 11, 2008 | not rated yet | 0
- Study finds link between preeclampsia and reduced thyroid function Nov 18, 2009 | not rated yet | 0
- Pre-eclampsia linked to thyroid problems Nov 18, 2009 | not rated yet | 0
- Thyroid treatment no 'quick fix' for weight loss in children Jan 03, 2008 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Classical and Quantum Mechanics via Lie algebras
Apr 15, 2011 I'd like to open a discussion thread for version 2 of the draft of my book ''Classical and Quantum Mechanics via Lie algebras'', available online at http://lanl.arxiv.org/abs/0810.1019 , and for the...
- More from Physics Forums - Independent Research
More news stories
The gap between life expectancy in patients with a mental illness and the general population has widened since 1985 and efforts to reduce this gap should focus on improving physical health, suggest researchers in a paper ...
Health 7 hours ago | not rated yet | 0
Failure to use linked electronic health records may lead to biased estimates of heart attack incidence and outcome, warn researchers in a paper published in BMJ today.
Health 7 hours ago | 5 / 5 (1) | 0
Dietary advice on added sugar is damaging our health, warns a cardiologist in BMJ today. Dr. Aseem Malhotra believes that "not only has this advice been manipulated by the food industry for profit but it is actually a risk ...
Health 7 hours ago | 5 / 5 (4) | 0
(HealthDay)—In 2008 to 2010, the prevalence of key health behaviors among U.S. adults varied, with about one in five adults current smokers and 62.1 percent overweight or obese, according to a report presented ...
Health 10 hours ago | 5 / 5 (1) | 0
(HealthDay)—The overall health of Americans isn't improving much, with about six in 10 people either overweight or obese and large numbers engaging in unhealthy behaviors like smoking, heavy drinking or ...
Health 10 hours ago | not rated yet | 0
(Medical Xpress)—Native peoples in regions where cameras are uncommon sometimes react with caution when their picture is taken. The fear that something must have been stolen from them to create the photo ...
14 hours ago | 4.2 / 5 (5) | 0 |
(Medical Xpress)—Despite spending billions of dollars on research and development, drug companies have been unable to come up with effective treatments for dementia and Alzheimer's Disease (AD). Now, A. ...
12 hours ago | 4.9 / 5 (11) | 0 |
An experimental sleeping pill from US drug company Merck is effective at helping people fall and stay asleep, according to reviewers at the US Food and Drug Administration, which could soon approve the new drug.
8 hours ago | 3 / 5 (2) | 0
Australian scientists have charted the path of insulin action in cells in precise detail like never before. This provides a comprehensive blueprint for understanding what goes wrong in diabetes.
14 hours ago | 4.6 / 5 (7) | 0 |
Activating an enzyme known to play a role in the anti-aging benefits of calorie restriction delays the loss of brain cells and preserves cognitive function in mice, according to a study published in the May ...
9 hours ago | 5 / 5 (4) | 0 |
A drug commonly used to treat depression and anxiety may improve a stress-related heart condition in people with stable coronary heart disease, according to researchers at Duke Medicine.
10 hours ago | 5 / 5 (1) | 0 |