Skip to main content
Top
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Research article

Correlation between maternal and umbilical cord blood in pregnant women of Pokhara Valley: a cross sectional study

Authors: Sameer Timilsina, Sirisa Karki, Aajeevan Gautam, Pujan Bhusal, Gita Paudel, Deepak Sharma

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

Login to get access

Abstract

Background

Complete blood count is one of the routinely advised blood investigation during pregnancy. It is also utilized as a diagnostic tool for neonatal anemia, sepsis and determining hemostatic status of the newborn. The present study aims at estimating the complete blood count of maternal and umbilical cord blood at the time of delivery and to establish its correlation.

Method

This cross sectional study included 114 mothers and their healthy neonates born through normal vaginal delivery. Complete blood count of umbilical cord blood and maternal blood was estimated using automatic hematology analyzer.

Results

The mean maternal and neonatal hemoglobin concentration was 11.14 ± 1.39 g/dL and 16.34 ± 2.01 g/dL respectively. A significant positive correlation was found between maternal and fetal hemoglobin concentration (p < 0.001 and Pearson R = 0.496). The correlation between maternal and fetal WBC, RBC and Platelet count was not statistically significant. A significant positive correlation was found between maternal and fetal MCV and MCH while PCV showed a non-significant positive correlation.

Conclusion

There was moderately positive correlation between maternal and fetal hemoglobin, MCV and MCH. The cord blood hemoglobin was lower in babies born to anemic mothers. The decrease in hemoglobin followed the severity of anemia, however, the correlation did not exist in anemic mothers. It suggested that fetal hematological parameters are not reflective of maternal hemogram.
Literature
1.
3.
go back to reference Fristma GA, Keohane E. Hematology: Clinical principles and applications. 4th ed. New York: Elsevier Health Sciences; 2012. Fristma GA, Keohane E. Hematology: Clinical principles and applications. 4th ed. New York: Elsevier Health Sciences; 2012.
4.
go back to reference WHO. The global prevalence of anaemia in, vol. 2011. Geneva: World Health Organization; 2015. WHO. The global prevalence of anaemia in, vol. 2011. Geneva: World Health Organization; 2015.
5.
go back to reference Paiva AD, Rondo PH, Pagliuisi RA, Latorre MR, Cardoso MA, Gondium SS. Relationship between the iron status of pregnant women and their newborns. Rev Saude Publica. 2007;41:321–7.CrossRef Paiva AD, Rondo PH, Pagliuisi RA, Latorre MR, Cardoso MA, Gondium SS. Relationship between the iron status of pregnant women and their newborns. Rev Saude Publica. 2007;41:321–7.CrossRef
6.
go back to reference Ministry of Health and Population Nepal. Partnership for Maternal, Newborn & Child Health, WHO, World Bank and Alliance for Health Policy and Systems Research. Success factors for women’s and children’s health: Nepal. Geneva: World Health Organisation; 2014. Ministry of Health and Population Nepal. Partnership for Maternal, Newborn & Child Health, WHO, World Bank and Alliance for Health Policy and Systems Research. Success factors for women’s and children’s health: Nepal. Geneva: World Health Organisation; 2014.
7.
go back to reference Bhandary S, Shrestha A. Prevalence of anemia among non-pregnant and pregnant women of reproductive age in Nepal. JGPEMN. 2011 Jan-June;2:21–6. Bhandary S, Shrestha A. Prevalence of anemia among non-pregnant and pregnant women of reproductive age in Nepal. JGPEMN. 2011 Jan-June;2:21–6.
8.
go back to reference Rana SS, Sharma S, Chand A, Malla R. Relationship between maternal Haemoglobin and fetal weight. NJOG. 2013 Jan-Jun;8(1):37–40. Rana SS, Sharma S, Chand A, Malla R. Relationship between maternal Haemoglobin and fetal weight. NJOG. 2013 Jan-Jun;8(1):37–40.
9.
go back to reference Raut BK, Jha MK, Shrestha A, Sah A, Sapkota A, Byanju S, et al. Prevalence of iron deficiency anemia among pregnant women before iron supplementation in Kathmandu University/ Dhulikhel hospital. Journal of Gynecology and obstetrics. 2014;2(4):54–8.CrossRef Raut BK, Jha MK, Shrestha A, Sah A, Sapkota A, Byanju S, et al. Prevalence of iron deficiency anemia among pregnant women before iron supplementation in Kathmandu University/ Dhulikhel hospital. Journal of Gynecology and obstetrics. 2014;2(4):54–8.CrossRef
10.
go back to reference Tuladhar H. Anaemia in adolescent pregnancy. JNMC. 2000 Jan;2(1):19–21. Tuladhar H. Anaemia in adolescent pregnancy. JNMC. 2000 Jan;2(1):19–21.
11.
go back to reference Ministry of Health, Nepal; New ERA; and ICF. Nepal demographic and health survey 2016: key indicators. Kathmandu, Nepal: Ministry of Health, Nepal; 2017. Ministry of Health, Nepal; New ERA; and ICF. Nepal demographic and health survey 2016: key indicators. Kathmandu, Nepal: Ministry of Health, Nepal; 2017.
12.
go back to reference Dapper DV, Didia BC. Haemorheological parameters of umbilical cord blood of Nigerian newborns: correlations with maternal parameters. WAJM Jan-Mar. 2006;25(1):226–30. Dapper DV, Didia BC. Haemorheological parameters of umbilical cord blood of Nigerian newborns: correlations with maternal parameters. WAJM Jan-Mar. 2006;25(1):226–30.
13.
go back to reference McElroy PD, Lal AA, Hawley WA, Bloland PB, Kuile OAJ, et al. Analysis of repeated hemoglobin measures in full-term, normal birth weight Kenyan children between birth and four years of age. The ASEMBO Bay cohort project. Am J Trop Med Hyg. 1999;61(6):932–40.CrossRefPubMed McElroy PD, Lal AA, Hawley WA, Bloland PB, Kuile OAJ, et al. Analysis of repeated hemoglobin measures in full-term, normal birth weight Kenyan children between birth and four years of age. The ASEMBO Bay cohort project. Am J Trop Med Hyg. 1999;61(6):932–40.CrossRefPubMed
14.
go back to reference Alizadeh L, Raoofi A, Salehi L, Ramzi M. Impact of maternal hemoglobin concentration on fetal outcomes in adolescent pregnant women. Iran Red Crescent Med J. 2014 Aug 1;16(8):e19670.CrossRefPubMedPubMedCentral Alizadeh L, Raoofi A, Salehi L, Ramzi M. Impact of maternal hemoglobin concentration on fetal outcomes in adolescent pregnant women. Iran Red Crescent Med J. 2014 Aug 1;16(8):e19670.CrossRefPubMedPubMedCentral
15.
go back to reference Nneli R, Amadi S, Nwafia W. Certain red blood cell indices of maternal and umbilical cord blood in Owerri, Nigeria: a preliminary report. Ann Med Health Sci Res 2011 Jan;1(1):1–8. Nneli R, Amadi S, Nwafia W. Certain red blood cell indices of maternal and umbilical cord blood in Owerri, Nigeria: a preliminary report. Ann Med Health Sci Res 2011 Jan;1(1):1–8.
16.
go back to reference Singla PN, Chand S. Effect of maternal anaemia on the placenta and the newborn infant. Acta Paediatr. 2008 June;67(5):645–8.CrossRef Singla PN, Chand S. Effect of maternal anaemia on the placenta and the newborn infant. Acta Paediatr. 2008 June;67(5):645–8.CrossRef
17.
go back to reference Al-hilli NM. The Effect of Maternal Anaemia on Cord Blood Haemoglobin & Newborn Birth Weigh Karbala. J Med. 2010;2:8–9.CrossRef Al-hilli NM. The Effect of Maternal Anaemia on Cord Blood Haemoglobin & Newborn Birth Weigh Karbala. J Med. 2010;2:8–9.CrossRef
18.
go back to reference Qaiser DH, Sandhila MP, Omair A, Ghori GM. Correlation of routine Haematological parameters between normal maternal blood and the cord blood of healthy newborns in selected hospitals of Karachi. J Coll Physicians Surg Pak. 2013 Feb;23(2):128–31.PubMed Qaiser DH, Sandhila MP, Omair A, Ghori GM. Correlation of routine Haematological parameters between normal maternal blood and the cord blood of healthy newborns in selected hospitals of Karachi. J Coll Physicians Surg Pak. 2013 Feb;23(2):128–31.PubMed
19.
go back to reference Kilbride J, Baker TG, Parapia LA, Khoury SA, Shuqaidefd SW, Jerwoode D. Anaemia during pregnancy as a risk factor for iron-deficiency anaemia in infancy: a case-control study in Jordan. Int J Epidemiol. 1999 June;28:461–8.CrossRefPubMed Kilbride J, Baker TG, Parapia LA, Khoury SA, Shuqaidefd SW, Jerwoode D. Anaemia during pregnancy as a risk factor for iron-deficiency anaemia in infancy: a case-control study in Jordan. Int J Epidemiol. 1999 June;28:461–8.CrossRefPubMed
20.
go back to reference Mamoury GH, Hamedy AB, Alkhlaghi F. Cord haemoglobin in newborn in correlation with maternal haemoglobin in northeastern Iran. Iran J Med Sci. 2003;28:166–8. Mamoury GH, Hamedy AB, Alkhlaghi F. Cord haemoglobin in newborn in correlation with maternal haemoglobin in northeastern Iran. Iran J Med Sci. 2003;28:166–8.
21.
go back to reference Abdelgader EA, Sana E, Abdalla SE, Kordofani AA, Omer IM. Haematological pictures in full term new born children in Sudan. Basic research journal of medicine and clinical. Sciences. 2013 Oct;2(9):88–93. Abdelgader EA, Sana E, Abdalla SE, Kordofani AA, Omer IM. Haematological pictures in full term new born children in Sudan. Basic research journal of medicine and clinical. Sciences. 2013 Oct;2(9):88–93.
22.
go back to reference Steer PJ. Maternal hemoglobin concentration and birth weight. Am J Clin Nutr 2000 May;71(5 Suppl):1285S–1287S. Steer PJ. Maternal hemoglobin concentration and birth weight. Am J Clin Nutr 2000 May;71(5 Suppl):1285S–1287S.
23.
go back to reference Doyle JJ, Schmitdt B, Avery GB, Fletcher MA, Macdonald MG. Neonatology, pathophysiology management of the newborns. 5th ed. Philadelphia: Lippincott; 1999. Doyle JJ, Schmitdt B, Avery GB, Fletcher MA, Macdonald MG. Neonatology, pathophysiology management of the newborns. 5th ed. Philadelphia: Lippincott; 1999.
24.
go back to reference Chirstenson RD. Expected hematologic values for term and preterm neonates. In: Cristensen P, editor. Hematologic problems of the neonatel. 11th ed. Philadelphia: Saunders; 2005. p. 118–22. Chirstenson RD. Expected hematologic values for term and preterm neonates. In: Cristensen P, editor. Hematologic problems of the neonatel. 11th ed. Philadelphia: Saunders; 2005. p. 118–22.
25.
go back to reference Qaiser DH, Ahmed ST, Sandila MP, Kazmi T. Hematological reference values for full term, healthy, newborns of Karachi. Pakistan JPMA. 2009;59:618. Qaiser DH, Ahmed ST, Sandila MP, Kazmi T. Hematological reference values for full term, healthy, newborns of Karachi. Pakistan JPMA. 2009;59:618.
Metadata
Title
Correlation between maternal and umbilical cord blood in pregnant women of Pokhara Valley: a cross sectional study
Authors
Sameer Timilsina
Sirisa Karki
Aajeevan Gautam
Pujan Bhusal
Gita Paudel
Deepak Sharma
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-1697-1

Other articles of this Issue 1/2018

BMC Pregnancy and Childbirth 1/2018 Go to the issue