The Influence of Thyroid Hormones on Gamma Immunoglobulin Density (Ig-Gp) and Apgar Score

Abstract

Observations over the years, particularly in the labour rooms of Jos University Teaching Hospital (JUTH), and TANDAM Medical Centre, Jos, Plateau, Nigeria, indicates that several neonates respond differently to these parameters. However, the experience of four mothers who had protracted labour and neonates with weak cry and low muscle tone, prompted this present investigation. Ex-vivo placenta, maternal and cord blood of twenty deliveries (10 primipara and ten multipara; five of which were by elective caesarean section) were assayed for thyroid hormone in maternal serum and IgGp in maternal and cord sera; while the APGAR scores of the neonates were as well, documented. Results showed that the mean immunoglobulin G population (IgGp) or density of neonates compared with that of their euthyriod mothers though higher in neonates was not statistically significant (P> 0.05). It was however significant (p < 0.01) between neonates and their hypothyroid mothers. APGAR score of the neonates of the euthyroid mothers were higher (p < 0.05) than those hypothyroid mothers who also bled for longer periods postpartum. It is our opinion that there could perhaps be an insight into the cause of such agonizing deliveries and to that effect, we recommended possible interventions.

Keywords: Euthyroidism, hypothyroidism, APGAR score, Gamma Immunoglobulin (IgG)