Association of Maternal Thyroglobulin Antibody With Preterm Birth in Euthyroid Women

J Clin Endocrinol MetabPublished Prospective cohort study

Main finding · PTBResult — go to the resultAdjusted odds ratio 1.16 95% CI 1.03–1.29

Authors' conclusion

In euthyroid women, TgAb positivity was associated with a higher risk of PTB that mainly manifested as S-PTB and L-PTB. However, the clinical significance of these findings is limited.

Study context

Population
Euthyroid pregnant women enrolled in the first trimester
Participants
58,247 women
Exposure
Thyroglobulin antibody (TgAb)-positive vs TgAb-negative
Outcome
PTB
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Adjusted odds ratio

1.16

95% CI 1.03–1.29

P = 0.01

TgAb-positivevs TgAb-negative
aOR 1.16 (95% CI 1.03–1.29); P = 0.01

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)
Spontaneous PTB (S-PTB)1.22 (1.06–1.39)
Late PTB (L-PTB)1.17 (1.04–1.32)

TgAb concentration as continuous variable

Consistent results with TgAb concentration as a continuous variable

PTB by first-trimester TSH stratum

Associations statistically significant only among women with TSH 0.1–2.5 mIU/L

Original publication

Association of Maternal Thyroglobulin Antibody With Preterm Birth in Euthyroid Women. J Clin Endocrinol Metab. Published 25 February 2025. doi:10.1210/clinem/dgaf118

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