Importance of haemogram parameters for prediction of the time of birth in women diagnosed with threatened preterm labour

Abstract

Objective: This study aimed to estimate the importance of complete blood count parameters for predicting the timing of birth in threatened preterm labour cases. Methods: 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.Results: 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 AE 3.60 mm in group 1 and 30.70 AE 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. Conclusion: 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. KeywordsRed cell distribution width (RDW), neutrophil to lymphocyte ratio (NLR), mean platelet volume (MPV), preterm birth, delivery, cervical length, white blood cells Date

Can placental elasticity predict the time of delivery in cases of threatened preterm labor?

“…Prediction and prevention of pregnancy complications such as preterm birth are significant issues in the modern obstetric field. 33 Determination of delivery time due to preterm birth is especially critical because the development of maternal and neonatal complications is complex, and researchers developed many methods to solve neonatal and maternal complications to date. 34 This article will help diagnose and predict preterm birth cases via the usage of the placental sonoelastography, a relatively new field of study, to investigate placental tissue structure.…”

The Association of Inflammatory Biomarker of Neutrophil-to-Lymphocyte Ratio with Spontaneous Preterm Delivery: A Systematic Review and Meta-analysis

“…The NLR can be obtained from a simple complete blood count test which is an inexpensive, well-accessible, and easily performed laboratory test available in many clinical settings. Regarding the predicting value of complete blood count, a recent study showed that maternal serum red blood cell distribution, NLR, 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 labor [ 14 ]. Although there are a number of reports assessing the NLR value for the pregnancies complicated with preterm delivery, the findings seem to be conflicting [ 15 – 17 ].…”