Department of Perinatology, Etlik Zübeyde Hanım Maternity and Women's Health Teaching and Research Hospital, Ankara, Turkey.
Van Training and Research Hospital, Department of Obstetrics and Gynecology, Van, Turkey.
J Int Med Res. 2020 Apr;48(4):300060520918432. doi: 10.1177/0300060520918432.
This study aimed to estimate the importance of complete blood count parameters for predicting the timing of birth in threatened preterm labour cases.
We performed a retrospective study of 92 patients who were diagnosed with threatened preterm labour (24–34 gestational weeks). The patients were divided into two groups according to the time of birth (group 1: delivered within the first week after diagnosis; group 2: delivered later than 1 week). We compared characteristics and complete blood count parameters between these two groups.
There were no significant differences in maternal age, body mass index, gravida, parity, haemoglobin levels, and gestational weeks between the two groups. The mean cervical length was 24.24 ± 3.60 mm in group 1 and 30.70 ± 5.32 mm in group 2. There were significant differences in the neutrophil to lymphocyte ratio, white blood cell count, red cell distribution width (RDW), absolute lymphocyte cell count, and absolute neutrophil cell count between the two groups.
Maternal serum RDW, the neutrophil to lymphocyte ratio, white blood cell count, absolute lymphocyte cell count, and the absolute neutrophil cell count profile could guide clinicians in predicting the time of birth in threatened preterm labour cases.
本研究旨在评估全血细胞计数参数对于预测有早产风险的孕妇分娩时机的重要性。
我们对 92 例被诊断为先兆早产（24-34 孕周）的患者进行了回顾性研究。根据分娩时间将患者分为两组（第 1 组：诊断后 1 周内分娩；第 2 组：分娩时间晚于 1 周）。我们比较了两组之间的特征和全血细胞计数参数。
两组间产妇年龄、体重指数、孕次、产次、血红蛋白水平和孕周均无显著差异。第 1 组的平均宫颈长度为 24.24±3.60mm，第 2 组为 30.70±5.32mm。两组间中性粒细胞与淋巴细胞比值、白细胞计数、红细胞分布宽度（RDW）、绝对淋巴细胞计数和绝对中性粒细胞计数有显著差异。
母体血清 RDW、中性粒细胞与淋巴细胞比值、白细胞计数、绝对淋巴细胞计数和绝对中性粒细胞计数谱可帮助临床医生预测有早产风险的孕妇的分娩时机。
