Can leukocyte count during the first trimester of pregnancy predict later gestational complications?

Tamar Tzur, Adi Y. Weintraub, Ruslan Sergienko, Eyal Sheiner

    Research output: Contribution to journalArticlepeer-review

    15 Scopus citations

    Abstract

    Purpose: To examine whether an association exists between maternal leukocyte count in the first trimester of pregnancy and the risk for development of obstetric complications. Methods: The study population included all the registered births (n = 33,866) with available white blood cell count (WBC) from the first trimester of pregnancy, during 2000-2010 in a tertiary medical center. The leukocyte count was sorted by the following groups: WBC < 3.5 10 × 9/l, WBC = 3.5 10 × 9/l-13.8 10 × 9/l, and WBC > 13.8 10 × 9/l. These groups were compared regarding obstetrical characteristics and perinatal outcomes. Multiple logistic regression models were used to control for confounders. Results: The study population included 33,866 deliveries, of these 0.94 % had leukocytosis WBC > 13.8 10 × 9/l. Women with leukocytosis delivered significantly earlier, were more likely to be Jewish, and in their first pregnancy. There were significantly higher rates of preterm delivery before 37 weeks, fertility treatments, hypertensive disorders, gestational diabetes mellitus, and cesarean section among these patients. There was no significant difference between the groups regarding preterm premature rupture of membranes (PPROM) and chorioamnionitis. Women with leukocytosis during the first trimester had significantly higher rates of fetuses who were small for gestational age and with birth weight <2,500 g. Multivariable analysis showed a significant association between preterm delivery before 37 weeks and leukocytosis during the first trimester of pregnancy (p = 0.003). Conclusions: Leukocytosis during the first trimester is significantly associated with an increased risk for obstetrical complications, in particular preterm delivery. Nevertheless, further studies should focus on women with leukocytosis during the first trimester in order to verify our results.

    Original languageEnglish
    Pages (from-to)421-427
    Number of pages7
    JournalArchives of Gynecology and Obstetrics
    Volume287
    Issue number3
    DOIs
    StatePublished - 1 Mar 2013

    Keywords

    • Leukocyte count
    • Preterm delivery
    • Preterm premature rupture of membrane and clinical chorioamnionitis

    ASJC Scopus subject areas

    • Obstetrics and Gynecology

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