Pediatric endocrinology

Delivery Mode and Neonatal Thyrotropin Levels: Insights From a Systematic Review and Meta-Analysis

Endocr PractPublished Systematic review and meta-analysis

Pooled result · Pooled TSH levelsResult — go to the resultHedges' g 0.390

Authors' conclusion

The study found that the method of delivery has a significant impact on neonatal TSH levels, especially in umbilical cord blood samples, highlighting the need to consider delivery mode in evaluating neonatal health.

Study context

Population
Neonates; studies published up to 2023 (MEDLINE/PubMed, Web of Science, Embase, Scopus, Cochrane Library)18 studies
Comparison
Vaginal delivery vs cesarean section
Outcome
Neonatal thyroid-stimulating hormone (TSH) levels at birth
Follow-up
At birth
Methodological detailsrandom effects model
  • Random effects model

Pooled result

Pooled TSH levels

Hedges' g

0.390

P = 0.002

As reported in the abstract

Further pooled results

OutcomeHedges' gP value
TSH levels, heel blood subgroupNo significant difference0.167P = 0.111
TSH levels, cord blood subgroup0.493P = 0.002

Original publication

Delivery Mode and Neonatal Thyrotropin Levels: Insights From a Systematic Review and Meta-Analysis. Endocr Pract. Published 13 February 2025. doi:10.1016/j.eprac.2025.02.006

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