Thyroid function and metabolic profile in women during the first trimester of pregnancy: A cross-sectional comparative study

Maternal thyroid hormones are critical for fetal development, particularly during the first trimester when the fetus relies entirely on maternal supply. This cross-sectional study assessed thyroid function in 85 first-trimester pregnant women and 85 age-matched non-pregnant controls in IBB City, Ye...

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Main Authors: Sallah A. AL HASHEDI, Mohammad M.S. SAIF, Khaled M.A. RAMADAN, Hossam S. EL-BELATGI, Najeeb S. AL-ZOREKY, Fatimah ALHAJJI, Yara Mohammed AL NAEEM, Mohamed A.A. MAHMOUD, Eslam S.A. BENDARY, Mohammed T. ALSORORRI
Format: Article
Language:English
Published: Society of Land Measurements and Cadastre from Transylvania (SMTCT) 2025-06-01
Series:Notulae Scientia Biologicae
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Online Access:https://www.notulaebiologicae.ro/index.php/nsb/article/view/12555
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Summary:Maternal thyroid hormones are critical for fetal development, particularly during the first trimester when the fetus relies entirely on maternal supply. This cross-sectional study assessed thyroid function in 85 first-trimester pregnant women and 85 age-matched non-pregnant controls in IBB City, Yemen. Serum levels of thyroid-stimulating hormone (TSH) and free thyroxine (FT4) were measured using enzyme-linked immunosorbent assay (ELISA) kits. The mean TSH and FT4 levels in pregnant women (2.16 ± 1.71 mIU/L and 1.28 ± 0.48 ng/dL, respectively) did not differ significantly from those in non-pregnant women (2.20 ± 1.40 mIU/L and 1.32 ± 0.42 ng/dL), with no clinically evident cases of overt thyroid dysfunction observed. A strong inverse correlation was found between FT4 and TSH in the pregnant group (r = –0.659, p < 0.001). No significant associations were detected between thyroid hormone levels and gestational age, obstetric history, or family history. Age-related declines in FT4 and FT3 were noted in controls but not in pregnant participants. These findings suggest stable first-trimester thyroid function in this cohort, though high dysfunction rates (24.7% subclinical; 10.6% overt hypothyroidism) indicate regional susceptibility. Given this burden, targeted screening could identify subclinical dysfunction and inform local reference intervals.
ISSN:2067-3264