Document Detail


Hematologic effects of placental pathology on very low birthweight infants born to mothers with preeclampsia.
MedLine Citation:
PMID:  19092839     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the effect of placental pathology on neonatal neutrophils, platelets, hematocrit and nucleated red blood cells in very low birthweight (VLBW) infants born to mothers with preeclampsia. STUDY DESIGN: Retrospective cohort study of infants with birthweight < 1500 g born to mothers with preeclampsia from july, 2002 to july, 2006 at a single level III neonatal intensive care unit. Placental pathology was reviewed for the presence of placental infarction and vasculopathy. Hematologic parameters from day of life 0, 1 and 2 were obtained. Statistical analysis included repeated-measures analysis of variance and multivariable analysis using logistic regression. RESULT: The study sample included 203 infants with estimated gestational age of 28+/-3 weeks; 45% had placental infarctions and 26% placental vasculopathy. Infants with neutropenia and thrombocytopenia did not have an increased occurrence of placental infarction or maternal vasculopathy but were more likely to be of small gestational age (SGA) and of lower gestational age compared with infants without neutropenia or thrombocytopenia. After multivariable analysis, gestational age and SGA remained associated with both neutropenia and thrombocytopenia whereas placental infarction and vasculopathy did not remain in the models. CONCLUSION: In our population of VLBW infants born to mothers with preeclampsia, placental pathology was common. There was no association of placental infarction or vasculopathy with neonatal neutropenia and thrombocytopenia. The data suggest that neonatal hematologic effects of maternal preeclampsia, if related to the placenta, are associated with factors other than placental histology.
Authors:
K J Zook; A B Mackley; J Kern; D A Paul
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-12-18
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  29     ISSN:  1476-5543     ISO Abbreviation:  J Perinatol     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-29     Completed Date:  2009-04-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  8-12     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Section of Neonatology, Christiana Care Health System, Newark, DE 19718, USA. Kelly.zook@mail.tju.edu
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MeSH Terms
Descriptor/Qualifier:
Blood Platelets
Erythrocytes
Female
Gestational Age
Hematocrit
Humans
Infant, Newborn
Infant, Very Low Birth Weight / blood*
Leukocyte Count
Male
Neutrophils
Placenta / pathology*
Platelet Count
Pre-Eclampsia*
Pregnancy
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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