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Persistent Maternal Thyroid Imbalance in Pregnancy Linked to Higher Autism Risk

Researchers report a dose–response pattern that underscores the value of routine thyroid checks in pregnancy.

Overview

  • Mothers with both preexisting and gestational thyroid dysfunction had a 2.68-fold higher adjusted risk of having a child diagnosed with autism.
  • Risk rose with each affected trimester, with per‑trimester increases estimated at about 1.39 for gestational hypothyroidism and 1.28 for combined chronic plus gestational hypothyroidism.
  • Adequately controlled preexisting thyroid disease was not associated with increased risk, emphasizing the importance of avoiding prolonged hormone imbalance during pregnancy.
  • The findings come from a retrospective cohort of 51,296 singleton births at Soroka University Medical Center in Israel spanning 2011 to 2017.
  • Researchers and outside experts noted missing data on treatment details, iodine status and thyroid autoimmunity, limiting causal conclusions and pointing to the need for prospective trials.