The intrapartum fever and afebrile complete blood cell counts
In order to reveal the impact of intrapartum fever to maternity, we
compared the complete blood cell counts and converted NLR (neutrophil to
lymphocyte ratio), MLR (monocyte to lymphocyte ratio), and PLR (platelet
to lymphocyte ratio) between intrapartum fever and afebrile groups. The
results (Table 3) demonstrate the difference remains in prepartum WBC,
RBC, Hb, and monocytes and postpartum WBC, RBC, Hb, neutrophils,
monocytes, NLR, and MLR between fever and afebrile parturients.
Prepartum mean value of WBC (9.53 × 109/L vs. 9.42
x109/L, P = 0.010), RBC (4.02
x1012/L vs. 3.98 × 1012/L, P< 0.001), and Hb (119.75 g/L vs. 118.23 g/L, P< 0.0001) were all a little higher in febrile group than
afebrile group, and postpartum WBC in afebrile group still higher (12.48
× 109/L vs. 11.71 × 109/L, P< 0.0001). However, postpartum RBC (3.70 ×
1012/L vs. 3.81 × 1012/L, P< 0.001) and Hb (110.53 g/L vs. 113.55 g/L, P< 0.0001) in fever parturients were inferior to non-fever
women. And for neutrophils, prenatal data did not uncover the
significant difference, but postnatal neutrophils in the intrapartum
fever group (10.11 × 109/L) were higher than afebrile
group (9.19 × 109/L, P < 0.0001).
Monocytes between the two groups implied the difference in both
prepartum and postpartum.
Additionally, postpartum NLR and
MLR were all higher in fever group (P <0.001) while not
preferred overtly difference before the delivery. However, PLR in two
groups not presented obviously difference whether it was in prepartum
(P = 0.711) or postpartum (P = 0.938). Correspondingly,
PLT also showed no discrepancy between intrapartum fever and afebrile
group.