Cord Blood Hematological Profile of Sudanese Neonates at Birth in Khartoum State.

Cord Blood Hematological Profile of Sudanese Neonates

Authors

  • Mahmoud Mohamed Elgari
  • Hisham Ali Waggiallah

Keywords:

Cord blood, Hematological profile, neonates

Abstract

Background and Objectives: Hematology of newborn recently represented as area of study focusing in study of umbilical cord blood and its elements in general. Identification of expected normal hematological values essentially requires as baseline data to facilitate detection of any congenital or acquired disorders present at time of birth. We aim to estimate hematological parameters and hemoglobin electrophoresis of umbilical cord blood of Sudanese neonates at birth. Methods: Study was conducted from July 2011 to June 2013 in Khartoum state maternity hospitals, five hundred healthy full term neonates of 36 - 42 weeks gestation, with weight of 2.5 kg and born to normal uncomplicated pregnant women were enrolled, 5 ml K2EDTA cord blood samples were collected to estimate CBC and hemoglobin electrophoresis. Results: the study revealed; Hb 14.35±1.55gm/dl, haematocrit 0.44.1 L/L ±5.14, MCV, MCH, and MCHC were 105.5 fl ±5.14, 33.5pg±1.99 and 33.1 gm/dl ±1.19 respectively. Cord blood mean Hb F was 61.9 %± 8.56, Hb A 37.18%±0.25, and Hb A2 0.14 %± 0.10, respectively. RBC count 4.43x1012/L ± 0.6, nRBCs count 2.3/100 WBCs ± 1.46, and absolute nRBCs count was 267.8x1012/L ± 50, white blood cells count 12.3x109/L ± 4.17 and platelet count 261 x109/L ± 83.16. Conclusion: we concluded that hemoglobin red cell indices mean values of healthy Sudanese cord blood at birth with normal reference ranges, but slightly lower than reported previous studies because of ethnological and life style differences. Fetal Hemoglobin, nRBCs, leukocyte, and platelet counts as described in other population and compatible with normal cord blood reference values. [Elgari M NJIRM 2014; 5(4):22-25

References

1. Christopher D. Hillyer, Ronald G. Strauss & Naomi L. C. Luban. (2004). Handbook of Pediatric Transfusion Medicine. Academic Press. pp. 295, 296. ISBN 0-12-348776-5.
2. Robert D. Christensen, Eric W. Pedro De Alarc N. Neonatal Hematology: Pathogenesis, Diagnosis, and Management of Hematologic. second editon published 2013 Cambridge University press
3. Erica Purves, MSN, RN. ( 2000). Neonatal hematology disorders, J. pediatric Oncology nursing, Vol 22, p 168-1
4. Lewis SM. Reference ranges and normal values. In: Lewis SM, Bain BJ and Bates I, Editors. Dacie and Lewis Practical Hematology. 10th ed. Churchill Livingstone, Philadelphia: 2006. p. 11–24.
5. Marvin CY, Robert DC.: Embryonic hemopoiesis in hematological problem of neonates.:philadephia 2000;1:20.
6. Dame C, Tuul SE.. The switch from fetal to adult erythropoiesis.( 2000). Neonatal Hematology2000; 27:57-25.
7. Sheffer-Mimouni G, Mimouni FB, Lubetzky R. Labour does not affect the neonatal absolute nucleated red blood cell count. Am J Perinatol 2003;20(7):367–71.
8. El-Hazmi MAF, Warsy AS. Normal reference values for hematological parameters, red cell indices, HbA2 and HbF from early childhood through adolescence in Saudis. Ann Saudi Med. 2001;21:165–169.
9. Wintrobe MM, Lee GR. Wintrobe’s Clinical Hematology, 11th ed. Williams and Wilkins Co., Baltimore. 2006.
10. 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.
11. Jaleel R, Deeba F, Khan A. Timing of umbilical cord clampingand neonatal haematological status. JPMA 2009; 59:468-70.
12. Babay ZA, Addar MH, Warsy AS, El-Hazmi MA. The interrelationship haematological parameters between Saudi newborns and parents. Saudi Med J 2002; 23:943-6.
13. Oski & Naiman (1982). Hematologic problemsed in the newborn. 3d edition, London.
14. Schroter W, Nafz C. (1981) Diagnstic significance of hemoglobin F and Aduring infancy. Paeditr Acta; 36:519.
15. Chirstenson RD: Expected hematologic values for term and preterm neonates In: Cristensen, hematologic problems of the neonate1th(ed), Philadelphia, Saunders, 2000:118-22.
16. Marwaha N, Marwaha RK, Narang A, Thusu K, Garewal G,Bhakoo ON. Routine haematological values in term newborns.Indian Pediatr 1992; 29:1095-9.
17. TawfiK H, (2005). Mangement of allo immune fetal anemia. ASJOG: 2 March.
18. Ceriani Cernads JM, Carroli G, Pellegrini l, et al (2006) The effect of timing of cord clamping on neonatal venous hematocrit values and clinical outcome at term: a randomized , controlled trail. Pediatrics: 117:779-786. 117/4/e779.
19. Philip Lanzkowsky. (2005). Manual of Pediateric Hematology and Oncology. 4th editon.
20. Mamoury GH, Hamedy AB, Alkhlaghi F. Cord hemoglobin in newborn in correlation with maternal haemoglobin in Northeastern Iran. Iran J Med Sci 2003; 28:166-8.
21. Ashavaid TF, Todur SP, Dherai AJ. Establishment of reference intervals in Indian population. Indian J Clin Biochem 2005; 20:110-8.

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Published

2018-01-05

How to Cite

Elgari, M. M., & Waggiallah, H. A. (2018). Cord Blood Hematological Profile of Sudanese Neonates at Birth in Khartoum State.: Cord Blood Hematological Profile of Sudanese Neonates. National Journal of Integrated Research in Medicine, 5(5), 22–25. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/794

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