Thyroid disease

Birth weight and placental weight in children born to mothers with hypothyroidism

Eur Thyroid JPublished Retrospective register-based cohort study

Authors' conclusion

The findings from a large Danish cohort point toward an association between hypothyroidism in pregnancy and lower birth weight of the child, whereas no association with placental weight was found.

Study context

Population
Singleton live births in Denmark, 2004–2015
Participants
694,734 births
Exposure
Maternal hypothyroidism vs no hypothyroidism
Outcome
Birth weight (small for gestational age (SGA) <10th percentile, large for gestational age (LGA) >90th percentile) and placental weight Z-score, by gestational week and sex
Follow-up
Birth
Methodological detailsnationwide register-based, adjusted for potential confounders incl. maternal body mass index (BMI)
  • Nationwide register-based
  • Adjusted for potential confounders incl. maternal BMI

Main finding

As reported in the abstract

SGA
Each group vs no hypothyroidismAdjusted odds ratio (95% CI)
Newly diagnosed hypothyroidism
1.16(1.00–1.34)
Treated hypothyroidism
0.94(0.86–1.03)

Observational data: associations, not effects.

Further findings

OutcomeNewly diagnosed hypothyroidismNo hypothyroidismaOR (95% CI)
LGANewly diagnosed hypothyroidismvs No hypothyroidism9.3%9.9%1.03 (0.87–1.21)
LGATreated hypothyroidismvs No hypothyroidism1.06 (0.98–1.14)
OutcomeAdjusted beta coefficient (95% CI)
Placental weight Z-scoreMaternal hypothyroidism vs No hypothyroidism · no association0.004 (−0.016 to 0.024)

Original publication

Birth weight and placental weight in children born to mothers with hypothyroidism. Eur Thyroid J. Published 26 June 2025. doi:10.1530/etj-25-0111

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