Blood parameters changes in cord blood of newborns of hypertensive mothers

被引:12
作者
Bolat, Ahmet [1 ,2 ]
Gursel, Orhan [2 ,3 ]
Kurekci, Emin [2 ,3 ]
Atay, Avni [2 ,3 ]
Ozcan, Okan [1 ,2 ]
机构
[1] Gulhane Mil Med Acad, Dept Pediat, TR-06018 Ankara, Turkey
[2] Fac Med, TR-06018 Ankara, Turkey
[3] Gulhane Mil Med Acad, Dept Pediat Hematol, TR-06018 Ankara, Turkey
关键词
Pregnancy; Hypertension; Newborn; Blood parameters; NEONATAL THROMBOCYTOPENIA; PREECLAMPSIA; POLYCYTHEMIA; PREGNANCY; COUNTS; WOMEN;
D O I
10.1007/s00431-013-2072-x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The aim of this study was to investigate the changes in the peripheral blood of newborns of hypertensive mothers. The umbilical cord blood from newborns of 31 hypertensive mothers and 32 healthy mothers were examined. In all subjects, complete blood count, peripheral blood smear, reticulocyte count, vitamin B-12, folate, ferritin levels and hemoglobin electrophoresis were performed. The subjects were followed up on for 1 year in terms of infections. RBC, hemoglobin, reticulocyte count and normoblast count were higher in the newborns of hypertensive mothers compared to the control group, and total leukocytes, neutrophil, lymphocyte, monocyte, eosinophil, and thrombocyte counts were lower. The number of neutropenic and thrombocytopenic subjects in newborns of hypertensive mothers was higher compared to the control group. On peripheral smears, dysplastic changes in neutrophils and erythrocytes were observed with a higher rate in newborns of hypertensive mothers compared to the control group. HbF levels were found to be higher in newborns of hypertensive mothers compared to the control group. During the follow-up period of 1 year, the number of infections in newborns of hypertensive mothers was found to be higher than the control group. Conclusion: Newborns of hypertensive mothers should be carefully evaluated and monitored in terms of hematologic abnormalities. Complete blood counts and peripheral blood smears can be used as significant parameters for early diagnosis of possible complications.
引用
收藏
页码:1501 / 1509
页数:9
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