https://scholars.lib.ntu.edu.tw/handle/123456789/507892
標題: | Impact of delivery mode and gestational age on haematological parameters in Taiwanese preterm infants | 作者: | Hsieh W.-S. Wu J.-H. HUNG-CHIEH CHOU PAU-CHUNG CHEN SUH-FANG JENG CHIEN-YI CHEN PO-NIEN TSAO Hsieh C.-J. Huang H.-M. |
公開日期: | 2009 | 卷: | 45 | 期: | 6 | 起(迄)頁: | 332-336 | 來源出版物: | Journal of Paediatrics and Child Health | 摘要: | Aim: Reference ranges of haematological parameters in preterm infants are limited. The aim of this study is to determine the reference values of haematological parameters in preterm infants in Taiwan, and to assess the impact of gestational age and mode of delivery on these parameters. Method: Medical records were retrospectively reviewed in preterm infants admitted to National Taiwan University Hospital from January 2001 to December 2004. The inclusion criteria included infants with <37 weeks of gestation who had blood sampling within 24 h of birth. The exclusion criteria included those with maternal history of antepartum haemorrhage, chorioamnionitis, fever, sepsis, preeclampsia and hypertension; and perinatal history of twin-to-twin transfusion syndrome, feto-maternal transfusion, injury and infection. Results: Of 568 preterm infants with blood cell counts, 337 were available for analysis. There were trends of increase in red blood cell counts, haemoglobin levels and haematocrit values as gestation increased up to 34 weeks. In contrast, a trend of decrease was noted in mean corpuscular volume values. There was an initial trend of decrease in white blood cell counts and then increased after 31 weeks gestation. The platelet counts were essentially unchanged. Infants born by vaginal delivery generally had higher haematological parameters than those born by Caesarean section at different gestational ages except for mean corpuscular volume values. Conclusions: We established the reference ranges of haematological parameters in Taiwanese preterm infants. Health-care professionals must be cautious in clinical application of the haematological values because of varying antenatal and perinatal risk factors. ? 2009 Paediatrics and Child Health Division (Royal Australasian College of Physicians). |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-67651212012&doi=10.1111%2fj.1440-1754.2009.01497.x&partnerID=40&md5=00bc11f2c02480023b57e009522c07c4 https://scholars.lib.ntu.edu.tw/handle/123456789/507892 |
ISSN: | 1034-4810 | DOI: | 10.1111/j.1440-1754.2009.01497.x | SDG/關鍵字: | hemoglobin; article; birth; blood sampling; cesarean section; clinical assessment; controlled study; erythrocyte count; female; gestational age; hematocrit; hematological parameters; hemoglobin blood level; hospital admission; human; infant; leukocyte count; major clinical study; male; mean corpuscular volume; medical record review; prematurity; priority journal; reference value; retrospective study; Taiwan; thrombocyte count; university hospital; vaginal delivery; Blood Cell Count; Cesarean Section; Delivery, Obstetric; Female; Gestational Age; Hematologic Tests; Humans; Infant, Newborn; Infant, Premature; Infant, Premature, Diseases; Male; Reference Values; Retrospective Studies; Taiwan |
顯示於: | 物理治療學系所 |
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