Maternal TSH and FT4 changes during pregnancy as risk factors for preeclampsia in euthyroid women - Takeaways - MDSpire

Maternal TSH and FT4 changes during pregnancy as risk factors for preeclampsia in euthyroid women

  • By

  • Jianxia Lin

  • Yili Zhang

  • Yu Meng

  • Yan Su

  • Mengfan Song

  • May 26, 2026

  • 0 min

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  • 1

    This study investigates the relationship between changes in FT4 and TSH levels during pregnancy and preeclampsia risk in euthyroid women.

  • 2

    TSH changes exhibited a J-shaped nonlinear association with preeclampsia risk, while FT4 changes showed a linear negative association.

  • 3

    The Complete Decompensation group, with significant TSH increases and FT4 decreases, had the highest preeclampsia risk at 2.7%.

  • 4

    Population-attributable risk analysis indicated that 21.6% of preeclampsia cases were linked to specific thyroid function change patterns.

  • 5

    The study concludes that significant TSH increases combined with FT4 decreases during pregnancy are associated with higher preeclampsia risk.

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