Low maternal free thyroxine concentrations during early pregnancy are associated with impaired psychomotor development in infancy

Maternal thyroid function during early pregnancy is an important determinant of early fetal brain development because the fetal thyroid is unable to produce any T4 before 12–14 weeks' gestation. Overt maternal hypothyroidism as seen in severe iodine‐deficient areas is associated with severely impaired neurological development of the offspring. At present, it is not known whether low free T4 (fT4) levels during pregnancy in healthy women from iodine sufficient areas may affect fetal neurodevelopment.

[1]  N. Bayley Manual for the Bayley Scales of Infant Development , 1969 .

[2]  W. Hamilton ENDEMIC CRETINISM , 1976, Developmental medicine and child neurology.

[3]  E. Robins,et al.  Research diagnostic criteria: rationale and reliability. , 1978, Archives of general psychiatry.

[4]  L. Siegel Early Cognitive and Environmental Correlates of Language Development at 4 Years , 1982 .

[5]  J. P. Schröder-van der Elst,et al.  [Iodine and goiter in The Netherlands]. , 1987, Nederlands tijdschrift voor geneeskunde.

[6]  J. de Vijlder,et al.  Maternal-fetal transfer of thyroxine in congenital hypothyroidism due to a total organification defect or thyroid agenesis. , 1990, The New England journal of medicine.

[7]  M. Obregon,et al.  Contribution of maternal thyroxine to fetal thyroxine pools in normal rats near term. , 1990, Endocrinology.

[8]  M. Obregon,et al.  The rat placenta and the transfer of thyroid hormones from the mother to the fetus. Effects of maternal thyroid status. , 1992, Endocrinology.

[9]  D. Jurkovic,et al.  Detection of thyroid hormones in human embryonic cavities during the first trimester of pregnancy. , 1993, The Journal of clinical endocrinology and metabolism.

[10]  S. P. Porterfield,et al.  The role of thyroid hormones in prenatal and neonatal neurological development--current perspectives. , 1993, Endocrine reviews.

[11]  P. Larsen,et al.  Maternal and Fetal Thyroid Function , 1994 .

[12]  A. V. van Baar,et al.  Cognitive development at preschool-age of infants of drug-dependent mothers. , 1994, Developmental medicine and child neurology.

[13]  F. Epstein,et al.  The molecular basis of thyroid hormone action. , 1994, The New England journal of medicine.

[14]  J. Martial,et al.  The prenatal role of thyroid hormone evidenced by fetomaternal Pit-1 deficiency. , 1995, The Journal of clinical endocrinology and metabolism.

[15]  R. Brand,et al.  The Relation between Neonatal Thyroxine Levels and Neurodevelopmental Outcome at Age 5 and 9 Years in a National Cohort of Very Preterm and/or Very Low Birth Weight Infants , 1996, Pediatric Research.

[16]  J. Kok,et al.  Prematurity-associated neurologic and developmental abnormalities and neonatal thyroid function. , 1996, The New England journal of medicine.

[17]  J. Pinto-Martin,et al.  The relation of transient hypothyroxinemia in preterm infants to neurologic development at two years of age. , 1996, The New England journal of medicine.

[18]  A. V. van Baar,et al.  Maternal Thyroid Peroxidase Antibodies during Pregnancy: a Marker of Impaired Child Development? , 1995, European Psychiatry.

[19]  F. Dekker,et al.  Effects of thyroxine supplementation on neurologic development in infants born at less than 30 weeks' gestation. , 1997, The New England journal of medicine.