BLOOD CELLS PROFILE IN UMBILICAL CORD OF LATE PRETERM AND TERM NEWBORNS

To describe the hematological profile in cord blood of late preterm and term newborns and compare blood indices according to sex, weight for gestational age and type of delivery. Cross-sectional study with late preterm and term newborns in a second-level maternity. Multiple gestation, chorioamnionit...

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Veröffentlicht in:Revista Paulista de Pediatria 2019-09, Vol.37 (3), p.264-274
Hauptverfasser: Rolim, Anna Carolina Boni, Lambert, Marley Aparecida, Borges, Juliana Policastro Grassano, Abbas, Samira Ali, Bordin, José Orlando, Langhi Junior, Dante Mário, Chiba, Akemi Kuroda, Santos, Amélia Miyashiro Nunes Dos
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container_issue 3
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container_title Revista Paulista de Pediatria
container_volume 37
creator Rolim, Anna Carolina Boni
Lambert, Marley Aparecida
Borges, Juliana Policastro Grassano
Abbas, Samira Ali
Bordin, José Orlando
Langhi Junior, Dante Mário
Chiba, Akemi Kuroda
Santos, Amélia Miyashiro Nunes Dos
description To describe the hematological profile in cord blood of late preterm and term newborns and compare blood indices according to sex, weight for gestational age and type of delivery. Cross-sectional study with late preterm and term newborns in a second-level maternity. Multiple gestation, chorioamnionitis, maternal or fetal hemorrhage, suspected congenital infection, 5-minute Apgar
doi_str_mv 10.1590/1984-0462/;2019;37;3;00008
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Cross-sectional study with late preterm and term newborns in a second-level maternity. Multiple gestation, chorioamnionitis, maternal or fetal hemorrhage, suspected congenital infection, 5-minute Apgar &lt;6, congenital malformations, and Rh hemolytic disease were excluded. Percentiles 3, 5,10, 25, 50, 75, 90, 95 and 97 of blood indices were calculated for both groups. 2,662 newborns were included in the sample, 51.1% males, 7.3% late preterms, 7.8% small for gestational age (SGA) and 81.2% adequate for gestational age (AGA). Mean gestational age was 35.6±1.9 and 39.3±1.0 weeks, respectively, for premature and term neonates. The erythrocytes indices and white blood cells increased from 34-36.9 to 37-41.9 weeks. Basophils and platelets remained constant during gestation. Premature neonates presented lower values ​​of all blood cells, except for lymphocytes and eosinophils. 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Cross-sectional study with late preterm and term newborns in a second-level maternity. Multiple gestation, chorioamnionitis, maternal or fetal hemorrhage, suspected congenital infection, 5-minute Apgar &lt;6, congenital malformations, and Rh hemolytic disease were excluded. Percentiles 3, 5,10, 25, 50, 75, 90, 95 and 97 of blood indices were calculated for both groups. 2,662 newborns were included in the sample, 51.1% males, 7.3% late preterms, 7.8% small for gestational age (SGA) and 81.2% adequate for gestational age (AGA). Mean gestational age was 35.6±1.9 and 39.3±1.0 weeks, respectively, for premature and term neonates. The erythrocytes indices and white blood cells increased from 34-36.9 to 37-41.9 weeks. Basophils and platelets remained constant during gestation. Premature neonates presented lower values ​​of all blood cells, except for lymphocytes and eosinophils. SGA neonates presented higher values ​​of hemoglobin, hematocrit and lower values of leukocytes, neutrophils, bands, segmented, eosinophils, monocytes and platelets. Male neonates presented similar values ​​of erythrocytes and hemoglobin and lower leukocytes, neutrophils, segmented and platelets. Neonates delivered by C-section had lower values ​​of red blood cells and platelets. Chronic or gestational hypertension induced lower number of platelets. Blood cells increased during gestation, except for platelets and basophils. SGA neonates had higher hemoglobin and hematocrit values and lower leukocytes. 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1984-0462
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source MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Blood Cell Count - methods
Blood Cells - physiology
Brazil
Cesarean Section
Cordão umbilical
Cross-Sectional Studies
Delivery, Obstetric
Female
Fetal Blood - cytology
Gestational Age
Hemograma completo
Humans
Infant, Newborn
Infant, Premature
Original
Pregnancy
Recém-nascido
Recém-nascido prematuro
Reference Values
title BLOOD CELLS PROFILE IN UMBILICAL CORD OF LATE PRETERM AND TERM NEWBORNS
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