{"title":"Leukocytosis in labor: what are its implications?","authors":"P Molberg, C Johnson, T S Brown","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to determine the usefulness of the peripheral white blood count (WBC) drawn during labor as a predictor of postpartum morbidity.</p><p><strong>Method: </strong>Hospital charts on 309 consecutive obstetrical deliveries performed by residents of the Cox Family Practice Residency were reviewed for evidence of maternal or neonatal postpartum morbidity. An analysis of means was used to compare the average antepartum WBC in the morbid and non-morbid groups.</p><p><strong>Results: </strong>The average WBC in a laboring patient was 12,450, with a range of 4,400 to 29,100. Patients with postpartum complications had a WBC similar to that of patients without complications (12,900 vs 12,300 p = 0.449).</p><p><strong>Conclusion: </strong>An elevated WBC obtained on admission to the labor ward is not helpful in predicting postpartum complications in mothers or newborns.</p>","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"14 3","pages":"229-36"},"PeriodicalIF":0.0000,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Family practice research journal","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The objective of this study was to determine the usefulness of the peripheral white blood count (WBC) drawn during labor as a predictor of postpartum morbidity.
Method: Hospital charts on 309 consecutive obstetrical deliveries performed by residents of the Cox Family Practice Residency were reviewed for evidence of maternal or neonatal postpartum morbidity. An analysis of means was used to compare the average antepartum WBC in the morbid and non-morbid groups.
Results: The average WBC in a laboring patient was 12,450, with a range of 4,400 to 29,100. Patients with postpartum complications had a WBC similar to that of patients without complications (12,900 vs 12,300 p = 0.449).
Conclusion: An elevated WBC obtained on admission to the labor ward is not helpful in predicting postpartum complications in mothers or newborns.
目的:本研究的目的是确定在分娩时外周血白细胞计数(WBC)作为产后发病率预测因子的有效性。方法:对考克斯家庭医院住院医师进行的309例连续产科分娩的医院图表进行回顾，以寻找产妇或新生儿产后发病率的证据。采用均数分析比较发病组和非发病组的平均产前白细胞。结果:分娩患者的平均白细胞为12450，范围为4400至29100。产后并发症患者的WBC与无并发症患者相似(12,900 vs 12,300 p = 0.449)。结论:入产房时白细胞升高对预测产妇或新生儿的产后并发症没有帮助。
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