Skip to main content
Top
Published in: The Journal of Obstetrics and Gynecology of India 4/2018

01-08-2018 | Original Article

Role of Platelet Distribution Width (PDW) and Plateletcrit in the Assessment of Nonthrombocytopenic Preeclampsia and Eclampsia

Authors: Abha Singh, Ruchi Varma

Published in: The Journal of Obstetrics and Gynecology of India | Issue 4/2018

Login to get access

Abstract

Objective

To evaluate the role of platelet indices in preeclampsia and eclampsia.

Methods

An observational analytical study was conducted in Department of Obstetrics and Gynaecology, Ambedkar Hospital, Pandit Jawaharlal Nehru Memorial Medical College, Raipur. It was performed on 150 women between March 2015 and February 2016; among them, 42 were taken as controls, 36 were preeclampsia and 72 were eclampsia. Their platelet count and platelet indices were done, analyzed and compared.

Result

In our study, we found that mean platelet count and mean plateletcrit showed a significant decrease while mean MPV and mean PDW showed a significant increase with increasing severity of disease. Also, we observed that 66.7% preeclampsia and 51.4% eclampsia were nonthrombocytopenic. Among these women, a decrease in the values of plateletcrit and an increase in PDW were seen in a significantly higher number of eclampsia patients. So these two platelet indices can become the new marker for an adverse outcome in preeclampsia and eclampsia even in women presenting with normal platelet counts.

Conclusion

Platelet indices showed a significant variation along with the severity of the disease. Platelet indices, especially PDW and plateletcrit, can be used along with platelet count to evaluate the severity of preeclampsia and eclampsia instead of relying on platelet count alone.
Literature
1.
go back to reference Nirmala T, Vani BR, Murthy Srinivasa V, et al. Study of platelet indices in pregnancy induced hypertension. Indian J Pathol Oncol. 2015;2(1):25–30. Nirmala T, Vani BR, Murthy Srinivasa V, et al. Study of platelet indices in pregnancy induced hypertension. Indian J Pathol Oncol. 2015;2(1):25–30.
2.
go back to reference Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Leveno DJ, Bloom SL, et al. Williams Obstetrics-23rd edition. McGraw-Hill;2010;706–56. Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Leveno DJ, Bloom SL, et al. Williams Obstetrics-23rd edition. McGraw-Hill;2010;706–56.
3.
go back to reference Sultana F, Parthiban R, Sharif S. Thrombocytopenia in pregnancy induced hypertension. J Med Sci Health. 2015;1(2):19–24. Sultana F, Parthiban R, Sharif S. Thrombocytopenia in pregnancy induced hypertension. J Med Sci Health. 2015;1(2):19–24.
4.
go back to reference Sameer MA, Meshram DP, Deshpande SA, et al. Role of platelet count as important prognostic marker in pregnancy induced hypertension. J Dent Med Sci (IOSR-JDMS). 2014;13(4):39–43. Sameer MA, Meshram DP, Deshpande SA, et al. Role of platelet count as important prognostic marker in pregnancy induced hypertension. J Dent Med Sci (IOSR-JDMS). 2014;13(4):39–43.
5.
go back to reference Kawathalkar MS. Essentials of clinical pathology. 1st ed. New Delhi: JAYPEE Brothers; 2010. p. 322–3.CrossRef Kawathalkar MS. Essentials of clinical pathology. 1st ed. New Delhi: JAYPEE Brothers; 2010. p. 322–3.CrossRef
6.
go back to reference Pektas DS, Yilmaz N. Plateletcrit is potential biomarker for presence and severity of psoriasis vulgaris. Acta Med Mediterr. 2016;32:1785–90. Pektas DS, Yilmaz N. Plateletcrit is potential biomarker for presence and severity of psoriasis vulgaris. Acta Med Mediterr. 2016;32:1785–90.
7.
go back to reference Chandrashekar V. Plateletcrit as a screening tool for detection of platelet quantitative disorders. J Hematol. 2013;2(1):22–6. Chandrashekar V. Plateletcrit as a screening tool for detection of platelet quantitative disorders. J Hematol. 2013;2(1):22–6.
8.
go back to reference Lecompte TP, Bernimoulin MP. Novel parameters in blood cell counter, clinics in laboratory medicine. Autom Haematol Anal State Art. 2014;35(1):209–24. Lecompte TP, Bernimoulin MP. Novel parameters in blood cell counter, clinics in laboratory medicine. Autom Haematol Anal State Art. 2014;35(1):209–24.
9.
go back to reference Hoffman R. Hematology basic principles and practice. 6th ed. Philadelphia: Elsevier Saunders; 2013. Hoffman R. Hematology basic principles and practice. 6th ed. Philadelphia: Elsevier Saunders; 2013.
10.
go back to reference Yang SW, Cho SH, Kwon HS, et al. Significance of the platelet distribution width as a severity marker for the development of preeclampsia. Eur J Obs Gynecol Reprod Biol. 2014;175:107–11.CrossRef Yang SW, Cho SH, Kwon HS, et al. Significance of the platelet distribution width as a severity marker for the development of preeclampsia. Eur J Obs Gynecol Reprod Biol. 2014;175:107–11.CrossRef
11.
go back to reference Ahmed W, Moharam A, Abd Hei H, et al. Evaluation of platelet indices and their significance in Preeclampsia. Nat Sci. 2014;12(3):147–153. Ahmed W, Moharam A, Abd Hei H, et al. Evaluation of platelet indices and their significance in Preeclampsia. Nat Sci. 2014;12(3):147–153.
12.
go back to reference Amita KR, Nithin KH, Shobha SN, et al. The role of platelet parameters as a biomarker in the diagnosis and in predicting the severity of preeclampsia. Indian J Pathol Oncol. 2015;2(2):57–60. Amita KR, Nithin KH, Shobha SN, et al. The role of platelet parameters as a biomarker in the diagnosis and in predicting the severity of preeclampsia. Indian J Pathol Oncol. 2015;2(2):57–60.
13.
go back to reference Mondal B, Paul DL, Sultana T. Assessment of platelet count and platelet indices in preeclampsia and eclampsia. Am J Innov Res Appl Sci. 2015;1(3):80–4. Mondal B, Paul DL, Sultana T. Assessment of platelet count and platelet indices in preeclampsia and eclampsia. Am J Innov Res Appl Sci. 2015;1(3):80–4.
14.
go back to reference Abass AE, Abdalla R, Omer I, et al. Evaluation of Platelets Count and Indices in Pre-Eclampsia Compared to Normal Pregnancies. IOSR J Dent Med Sci. 2016;15(7):05–8.CrossRef Abass AE, Abdalla R, Omer I, et al. Evaluation of Platelets Count and Indices in Pre-Eclampsia Compared to Normal Pregnancies. IOSR J Dent Med Sci. 2016;15(7):05–8.CrossRef
15.
go back to reference Annam V, Srinivasa K, Yatnatt SK, et al. Evaluation of platelet indices and platelet counts and their significance in Preeclampsia and eclampsia. Int J Biol Med Res. 2011;2(1):425–8. Annam V, Srinivasa K, Yatnatt SK, et al. Evaluation of platelet indices and platelet counts and their significance in Preeclampsia and eclampsia. Int J Biol Med Res. 2011;2(1):425–8.
16.
go back to reference Vijaya C, Lekha MB, Archana S, et al. Evaluation of platelet counts and platelet indices and their significant role in preeclampsia and eclampsia. J Evol Med Dent Sci (jmeds). 2014;3(1):3216–9. Vijaya C, Lekha MB, Archana S, et al. Evaluation of platelet counts and platelet indices and their significant role in preeclampsia and eclampsia. J Evol Med Dent Sci (jmeds). 2014;3(1):3216–9.
17.
go back to reference Akhila NR, Jayalakshmi L, Devi K. Study of mean platelet volume in gestational hypertension and normal pregnancy. Int J Biomed Res. 2015;6(06):366–9.CrossRef Akhila NR, Jayalakshmi L, Devi K. Study of mean platelet volume in gestational hypertension and normal pregnancy. Int J Biomed Res. 2015;6(06):366–9.CrossRef
18.
go back to reference Karateke A, Kurt RK, Baloğlu A. Relation of platelet distribution width (PDW) and plateletcrit (PCT) to preeclampsia. Ginekol Pol. 2015;86:372–5.CrossRefPubMed Karateke A, Kurt RK, Baloğlu A. Relation of platelet distribution width (PDW) and plateletcrit (PCT) to preeclampsia. Ginekol Pol. 2015;86:372–5.CrossRefPubMed
Metadata
Title
Role of Platelet Distribution Width (PDW) and Plateletcrit in the Assessment of Nonthrombocytopenic Preeclampsia and Eclampsia
Authors
Abha Singh
Ruchi Varma
Publication date
01-08-2018
Publisher
Springer India
Published in
The Journal of Obstetrics and Gynecology of India / Issue 4/2018
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-017-1036-x

Other articles of this Issue 4/2018

The Journal of Obstetrics and Gynecology of India 4/2018 Go to the issue