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Table 5 Maternal TH levels

From: Exposure to Perflouroalkyl acids and foetal and maternal thyroid status: a review

Reference

Author

Country

Year

Time point of TH measurement

 

TSH

T3

T4

TPOAb

Number

 

Median

Range

 

Median

Range

 

Median

Range

 

Normal range in non-pregnant women#

   

0.300–4.5 IU/L

  

1.10–2.50 nmol/L

  

60–140 nmol/L

–

Normal range in pregnant women

American Thyroid Association

 

1st Trimester

Upper reference limit of 4.0 mU/L

       
 

2nd-3th Trimester

Gradually return to non-pregnancy range

       

European Thyroid Association

 

1st Trimester

Upper reference limit of 2.5 mU/L

       
 

2nd-3th Trimester

Upper reference limit of 3.0 mU/L

       

Studies included in review

[38]

Kato

Japan

2016

Median week: 11.1

392

TSH (mIU/L)*

1.0

LOD-4.1a

   

FT4 (pmol/L)*, d

12.7

7.9–21.56 a

 

[39]

Preston

USA

2018

<14th week. (1st trimester)

732

TSH (mIU/mL) e

1.2

< 0.01–21.4

   

TT4 (nmol/L)*

127.4

50.2–314.1

Positive (> 2 U/mL): 14%

   

FT4Index

2.1

1.3–6.0

[40]

Inoue

Denmark

2019

Week 5–19 (Median week 8) (1st Trimester)

1366

TSH (mIU/L)

1.13b

1.08–1.19 a

   

FT4 (pmol/L)

14.2b

14.1–14.3 a

 

[41]

Wang

Norway

2013

Week 17–18 (2nd trimester)

903

TSH (mIU/L)

3.52

Max: 18.64

       

[42]

Webster

Canada

2014

Week 15 (2nd trimester)

150

TSH (mIU/L)

1.3

0.0–3.3

   

TT4 (nmol/L)

126.4

77.4–200.1

High (≥ 9 IU/mL): 9%

   

FT4 (pmol/L)

9.5

7.3–12.9

Week 18 (2nd trimester)

TSH (mIU/L)

1.3

0.2–4.0

   

TT4 (nmol/L)

119.1

65–7-175.7

 
   

FT4 (pmol/L)

8.5

5.8–11.1

 

[43]

Berg

Norway

2015

2nd trimester (week 13–28)

375

TSH (mIU/L)

1.55

0.06–10.2

TT3 (nmol/L)

2.71

1.47–4.75

TT4 (nmol/L)

145

92.00–215

Positive (>  34 IU/L): 6%

FT3 (pmol/L)

4.59

2.99–7.08

FT4 (pmol/L)

13.0

9.00–20.0

3 days postpartum

372

TSH (mIU/L)

2.37

0.15–9.51

TT3 (nmol/L)

2.75

1.32–4.66

TT4 (nmol/L)

144

77.0–232

Positive (>  34 IU/L): 4%

FT3 (pmol/L)

4.50

2.72–6.77

FT4 (pmol/L)

13.0

8.00–19.0

6 weeks postpartum

374

TSH (mIU/L)

1.39

0.06–6.54

TT3 (nmol/L)

1.70

1.15–2.53

TT4 (nmol/L)

97.0

63.0–153

Positive (>  34 IU/L): 4%

FT3 (pmol/L)

4.63

3.14–6.48

FT4 (pmol/L)

14.0

10.0–25.0

[44]

Wang

Taiwan

2014

Week 28–40 (3rd trimester)

274–285

TSH (mIU/L)

1.76

 

TT3 (nmol/L)*

2.45

 

TT4 (nmol/L)*

143.7

  

FT4 (pmol/L)*

7.3

  

[45]

Reardon

Canada

2019

<  13 weeks

167

TSH (mIU/L)*, e

1.18

0.15–3.21c

FT3 (pmol/L)

4.62

3.72–5.58 c

FT4 (pmol/L)

14.9

11.8–19.6 c

High (>  9 IU/mL): 5%

14–26 weeks

487

TSH (mIU/L)*, e

1.38

0.57–3.25 c

FT3 (pmol/L)

4.53

3.69–5.51 c

FT4 (pmol/L)

14.0

11.6–17.5 c

High (>  9 IU/mL): 15%

27–40 weeks

465

TSH (mIU/L)*, e

1.28

0.52–2.45 c

FT3 (pmol/L)

4.36

3.62–5.41 c

FT4 (pmol/L)

12.6

10.0–16.6 c

High (>  9 IU/mL): 15%

3 months postpartum

479

TSH (mIU/L)*, e

1.14

0.07–2.28 c

FT3 (pmol/L)

4.13

3.30–5.30 c

FT4 (pmol/L)

14.0

11.6–19.4 c

High (>  9 IU/mL): 14%

[46]

Yang

China

2016

1–2 days before delivery (3rd trimester)

123–157

TSH (mIU/L)

3.03

0.26–12.77

TT3 (nmol/L)

2.54

0.77–3.86

TT4 (nmol/L)

140.00

71.42–288.30

 

FT3 (pmol/L)

3.82

1.76–5.41

FT4 (pmol/L)

11.89

7.45–17.49

 

[47]

Xiao

Faroe Island

2019

Week 34 (3rd Trimester)

172

TSH (mIU/L)*, f

1.34b

0.23–3.61

FT3 (pmol/L)

4.25 b

2.94–6.62

TT4 (nmol/L)

121.08 b

61.00–224.00

 

T3RU

0.66 b

0.51–1.01

FT4 (pmol/L)

8.18 b

5.49–14.70

 
   

FT4Index (IU/L)

80.47 b

53.00–164.00

 
  1. TT3 (total triiodothyronine), FT3 (free triiodothyronine), TT4 (total thyroxine), FT4 (free thyroxine), T3RU (Free triiodothyronine resin uptake), *: Converted values, for TSH all values are converted to mIU/L, for TT3 and TT4 all values are converted to nmol/L, for FT3 and FT4 all values are converted to pmol/L, a: 95% confidence interval, b: Geometric mean, c: Range defined as the 5th percentile and 95th percentile of the sample population, d: In the article the value reported were 0.99 ng/mL, converted to pmol/L giving 1274.3 pmol/L; other FT4 values from the same cohort (Minatoya et al. 2017) have reported similar values in ng/dL. We believe that the correct unit is 0.99 ng/dL (=12.7 pmol/L), which gives normal FT4 levels, e: Values were reported as mIU/mL in tables, however other places in the article the more used μIU/mL or IU/L were used, we choose to interpret the values as μIU/mL as the values are in the normal range and comparable with values reported from other studies. f: Values were reported as IU/L, we choose to interpret the values as μIU/mL / mIU/L as the values are then in the normal range and comparable with values reported from other studies. #: Aarhus University Hospital, Aarhus, Denmark