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KMID : 0376219810180030373
Chonnam Medical Journal
1981 Volume.18 No. 3 p.373 ~ p.376
Serum Thyroxine to Thyroxine-Binding Globulin Ratios During Pregnancy

Abstract
To evaluate the diagnostic value of the ratio of serum thyroxine (T4)/thyroxine-binding globulin (TBG) for the thyroid status during pregnancy, serum thyroxine, TBG, triiodothyronine, and free thyroxine levels were radioimmunoassayed in normal pregnant women at each of the trimesters, and the calculated serum T4/TBG ratios were compared with other parameters such as T3/TBG ratio and free T4/TBG ratio.
Serum T4 levels were elevated with the proportionate increase in TGB levels during pregnancy, leading to the nearly constant value of serum T4/TBG ratios as in normal non-pregnant controls. In contrast, serum T3/TBG and free T4/TBG ratios varied considerably during pregnancy.
These results indicate that serum T4/TBG ratio is a better parameter than others in evaluating the thyroid status during pregnancy.
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