4.5 Article

Study on perinatal-related factors of maternity and newborn in parturients with intrapartum fever in part of Eastern China: A cross-sectional study

期刊

出版社

WILEY
DOI: 10.1002/jcla.24050

关键词

intrapartum fever; monocyte to lymphocyte ratio; neutrophil to lymphocyte ratio; perinatal period; platelet to lymphocyte ratio; vaginal discharge

资金

  1. National Natural Science Foundation of China [81971045, 82071602, 82073392]
  2. Six Talent Project in Jiangsu Province [WSW-120, WSY-119]
  3. Science and Technology Fund of Nanjing Medical University [NMUB2018070]
  4. Nanjing Medical Science and Technique Development Foundation [QRX17072]

向作者/读者索取更多资源

The study evaluated the impact of intrapartum fever on patients, showing that it may affect blood parameters. Intrapartum fever may not only be caused by infection, and differences in white blood cells, red blood cells, and hemoglobin before and after childbirth were significant.
Background Maternal intrapartum fever has a serious impact on mother and child. However, the corresponding study seems to be in short. Methods The role of inflammatory cells in patients who were diagnosed with intrapartum fever lived in part of Eastern China was evaluated. The obstetrics outcomes, complete blood cell count (CBC) and thereby converted neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio, monocyte to lymphocyte ratio (MLR), and vaginal secretion were compared in different groups. Results Prepartum values of white blood cell (WBC), red blood cell (RBC), and hemoglobin (Hb) were all a little higher in the febrile group than in the afebrile group, and postpartum WBC in the afebrile group was still higher while postpartum RBC and Hb were inferior to non-fever maternity. Postpartum NLR and MLR were all higher in the fever group but not preferred overtly difference before delivery. Additionally, the comparison of WBC, RBC, Hb, platelets, neutrophils, and monocytes in prepartum and postpartum all showed significant differences. Conclusion The parturition could bring about the value change of CBC and intrapartum fever might aggravate or alleviate this change. Besides, the intrapartum fever might not be caused mainly by infection and the difference between bacteria and fungus could reflect in the CBC.

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