Thyroid disease

Thyroid disease in pregnancy and the risk of venous thromboembolism: a Danish nationwide cohort study

Eur Thyroid JPublished Retrospective cohort study

Authors' conclusion

In a large, nationwide cohort, an association between maternal thyroid disease and VTE diagnosed in relation to pregnancy was found. Results point towards maternal hyperthyroidism as the predominant risk factor for thrombosis and draw attention to confounding factors in the association with hypothyroidism.

Study context

Population
Pregnancies in Denmark 1999–2015, nationwide health registers on diagnoses and medications
Participants
1,149,871 pregnancies
Exposure
Maternal hyperthyroidism or hypothyroidism vs no thyroid disease
  • Hyperthyroidismn = 12,633
  • Hypothyroidismn = 17,940
Outcome
Venous thromboembolism (VTE) during pregnancy and up to one year after the pregnancy had ended
Methodological detailsnationwide, register-based
  • Nationwide
  • Register-based

Main finding

As reported in the abstract

VTE
Each group vs non-exposedAdjusted odds ratio (95% CI)
Hyperthyroidism
1.39(1.06–1.83)
Hypothyroidism
1.43(1.14–1.79)

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)
VTE, additionally adjusted for pre-pregnancy BMIHyperthyroidismvs Non-exposed1.47 (1.08–2.01)
VTE, additionally adjusted for pre-pregnancy BMIHypothyroidismvs Non-exposed1.25 (0.96–1.62)

Original publication

Thyroid disease in pregnancy and the risk of venous thromboembolism: a Danish nationwide cohort study. Eur Thyroid J. Published 31 August 2026. doi:10.1530/etj-26-0154

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