Maternal thyroid disorder in pregnancy and risk of cerebral palsy in the child: a population-based cohort study

Tanja Gram Petersen1, Anne-Marie Nybo Andersen2, Peter Uldall3

  • 1Section of Social Medicine, Department of Public Health, University of Copenhagen, Gothersgade 160, 1123, Copenhagen, Denmark. tagp@sund.ku.dk.

BMC Pediatrics
|June 2, 2018
PubMed

Insights

Maternal thyroid disorder during pregnancy may increase the risk of unilateral spastic cerebral palsy in children. However, overall maternal thyroid issues were not linked to bilateral spastic cerebral palsy.

Area of Science:

  • Pediatric neurology
  • Endocrinology
  • Epidemiology

Background:

  • Cerebral palsy is the most common childhood motor disability, with largely unknown causes.
  • Prenatal thyroid hormone disturbances are hypothesized to increase cerebral palsy risk.

Purpose of the Study:

  • To investigate the association between maternal thyroid disorder and the risk of cerebral palsy in offspring.

Main Methods:

  • Population-based cohort study involving over 1.4 million children from Denmark and the Nordic countries (MOBAND).
  • Utilized register-based and self-reported maternal thyroid disorder data.
  • Analyzed risk of cerebral palsy and its subtypes using logistic regression, with follow-up to age 6.

Main Results:

  • Maternal thyroid disorder was not associated with bilateral spastic cerebral palsy (OR 1.0; 95% CI: 0.7-1.5).
  • Maternal thyroid disorder identified during pregnancy showed an association with increased risk of unilateral spastic cerebral palsy (OR 3.1; 95% CI: 1.2-8.4).
  • In the MOBAND cohort, self-reported maternal thyroid disorder in pregnancy was not significantly associated with overall cerebral palsy risk (OR 1.2; 95% CI: 0.6-2.4).

Conclusions:

  • Maternal thyroid disorder during pregnancy is linked to an elevated risk of unilateral spastic cerebral palsy.
  • No association was found between overall maternal thyroid disorder and bilateral spastic cerebral palsy.
  • Further research using maternal blood samples is recommended to validate these findings.
Abstract

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