Impact of Maternal Hemogram Values On Perinatal Outcomes

Aim: This study aims to investigate the correlation between maternal hemogram values and perinatal outcomes in a cohort of pregnant women. Materials and Methods:: Maternal and neonatal data were extracted from the hospital's electronic medical records system between June 2021 and June 2023. Maternal hemogram parameters were collected within the last trimester of pregnancy. Perinatal outcomes included Apgar scores at 1 and 5 minutes, and NICU admissions. Results: The effect of hemogram parameters on neonatal outcomes was evaluated. There was a significant positive correlation between hemoglobin levels and birth weight (r = 0.23, P = 0.02). Hemoglobin also positively correlated with both 1-minute (r = 0.19, P =0.04) and 5-minute Apgar scores (r = 0.21, P = 0.03). A significant negative correlation was observed between mean platelet volume and NICU admissions (r = 0.20, P = 0.03). Higher neutrophil count was significantly associated with an increased risk of low birth weight (OR = 1.15, 95% CI: 1.02-1.30, P =0.03), for low Apgar scores, a higher neutrophil to lymphocyte ratio was a significant risk factor (OR = 1.25, 95% CI: 1.10-1.42, P = 0.01). NICU admissions were more likely with higher mean platelet volume (OR = 1.20, 95% CI: 1.05-1.36, P = 0.02). Conclusion: This study highlights the importance of maternal hemogram parameters as predictors of perinatal outcomes. Comprehensive hematologic monitoring and targeted interventions during pregnancy can play a crucial role in optimizing maternal and neonatal health, ultimately leading to better outcomes for both mothers and their babies.