The hematological parameters of neonates are subject to modulation by various factors including maternal, environmental and/or fetal influences. This study aimed to investigate the impact of maternal variables on hemoglobin levels and reticulocyte counts in umbilical cord blood samples obtained from newborns in India. A total of 198 umbilical cord blood specimens from infants delivered at an Indian Hospital were subjected to analysis. Two milliliters of cord blood were collected in ethylene diamine tetra acetic acid tubes under aseptic conditions and processed within 6 hours for hemoglobin estimation and reticulocyte counting. In normal vaginal deliveries, the mean reticulocyte count and hemoglobin concentration was lower than that of cesarean sections. A significant difference (P < 0.05) was observed in cord hemoglobin and reticulocyte levels relative to the mode of delivery A statistically significant association was found between reticulocyte counts and pregnancy complications. Additionally, a significant correlation between maternal and cord hemoglobin concentrations was also observed. Maternal anemia contributes to reduced hemoglobin levels in newborns. Screening of cord blood proves valuable for detecting neonatal anemia. Elevated reticulocyte counts in neonates indicate active erythropoiesis, suggesting a potential delay in transfusion unless warranted by specific clinical indications.
Nishi Mishra, Parul Nema, Pushpraj Singh Baghel and Mohini Thakur. Association of Maternal Factors with Reticulocyte Count and Hemoglobin Content of Umbilical Cord
Blood: A Cross‐Sectional Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.251.254
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.251.254