Research Article

Association between Maternal Thyroxine and Risk of Fetal Congenital Heart Defects: A Hospital-Based Cohort Study

Table 1

Basic characteristics of the population.

CharacteristicsCongenital heart defects valuesa
No (N = 41,432)Yes (N = 215)

FT4 (pmol/L, median, IQR)14.7 (13.2–16.4)15.6 (13.8–17.1)<0.001
TT4 (ng/ml, median, IQR)b11.1 (9.8–12.4)11.1 (9.9–12.4)0.92
FTT4P (%, median, IQR)b,c1.05 (0.95–1.17)1.09 (0.99–1.20)0.004
Antibody positivityb (n, %)4,885 (13.9)30 (15.7)0.20
Maternal age (years; n, %)
 <252,100 (5.1)10 (4.7)0.31
 25–3435,231 (85.0)177 (82.3)
 ≥354,101 (9.9)28 (13.0)
Local residents (n, %)31,866 (76.9)164 (76.3)0.83
Nulliparous women (n, %)35,153 (84.8)188 (87.4)0.29
Assisted conceptions (n, %)747 (1.8)6 (2.8)0.28
Gestational diabetes (n, %)3,478 (8.4)23 (10.7)0.23
Preeclampsia (n, %)2,337 (5.6)31 (14.4)<0.001
Male fetuses (n, %)21,345 (51.5)118 (45.8)0.33

Abbreviations: IQR, interquartile range; FT4, free thyroxine; TT4, total thyroxine; and FTT4P, free-to-total thyroxine proportion. a values for Mann–Whitney U tests or chi-square/Fisher’s exact tests. bA total of 39,077 women (38,984 women with a non-CHD baby and 93 women with a CHD offspring) had measured TT4 and an FTT4 value. 35,339 women had tested thyroid antibody, including 35,256 women without a CHD baby. cMolecular weight of 776.87 g/mol for thyroxine was used for the transformation.