血液学および血栓塞栓性疾患ジャーナル
オープンアクセス
ISSN: 2329-8790
ISSN: 2329-8790
Ammanuel Angelo, Girma Derbie, Daniel Asrat , Aster Tsegaye
Background: Several factors like altitude, age, sex, pregnancy, socioeconomic status, lifestyle and race influence hematological reference interval (RIs), which are critical to support appropriate clinical decisions and to interpret laboratory data in research. Currently there are no well-established RIs for cord blood hematological parameters of newborns in Ethiopia.
Objective: To generate reference interval for umbilical cord blood hematological parameters of newborns at St Peter Specialized Hospital Addis Ababa, Ethiopia.
Method: A cross-sectional study was conducted from January 1 to March 31, 2019 on healthy, term newborns (37-42 weeks) with normal birth weight born to apparently healthy pregnant mothers who had met the eligibility criteria. From a total of 139 newborns, 2-3ml cord blood was immediately collected from the clumped cord using EDTA tube. The samples were analyzed using Sysmex KX 21 hematology analyzer. Data was entered and the 2.5th and 97.5th percentile (upper and lower reference limit) were determined using non parametric method by SPSS version 23. The non-parametric independent Mann- Whitney U test (Wilcoxon rank-sum test) was used to compare the distribution of the parameters between genders, modes of deliveries and gestational age groups.
Result: The combined reference interval for umbilical cord blood hematological parameters of newborns with the median and 95% reference value of cord blood parameters were as follows for WBC= 12.4 [6.55-19.35], RBC= 4.51 [3.55-5.52], HGB= 15.80 [12.41-19.65], HCT= 45.9[37.9-56.3], MCV=102.10[83.90-111.55], MCH= 35.30 [29.35-39.10], MCHC= 34.3 [32.3-37.40], PLT= 236 [146-438], LYM= 37.5% [16.6-63.0%], MXD= 7.9%[1.65-15.75%], NEU= 53.7%[30.3-78.3], RDW= 15.6[12.0-19.0], PDW=11.0[9.1-15.7] and MPV= 9.4[8.1-11.8]. The current study found no significance difference between genders, except RDW (P=0.01) and gestational age group, but there was significance difference for WBC (p=0.007), RBC (p=0.018) and Absolute NEU (p=0.001).
Conclusion: Since this study is pioneer of its kind with regards to hematological reference intervals in cord blood, the values obtained from our study provide reference intervals for some hematological parameters in healthy newborns of Addis Ababa and its surrounding special weredas. However, the results need to be confirmed by larger samples from different centers throughout the country.