Platelet Indices before Vaginal Delivery in Healthy Teenage Pregnant Women Compared to Healthy Adult Pregnant Women

Abstract

Aims: This work aimed to study whether there are any differences in platelet indices of the teenagers compared to adult pregnant women, differences that could be used for the benefit of the patients. Study Design:  Prospective study. Place and Duration of Study: This study included all consecutive patients admitted for delivery between July 2019 and December 2019 in the Elena Doamna Obstetrics and Gynecology University Hospital, Iasi, Romania, who met the inclusion criteria. Methodology: There were 167 patients (ranged between 14-46 years old). Complete blood count just before vaginal delivery was analyzed. Results: A statistical difference (P=0.043) was found between plateletcrit values of healthy adolescents compared with healthy adult pregnant patients. No statistical difference was found between plateletcrit values in the 4 consecutive age groups. No pregnant patient had abnormal plateletcrit value. The neutrophil-to-lymphocyte ratios were significantly higher (P=0.024) in adolescents versus the over 40 age group; moreover, the teenage median values were slightly over the normal limits. The NLR values were significantly higher (P=0.013) in adolescent patients versus adult pregnant patients. Conclusion: Even if plateletcrit or NLR values in teenage pregnant patients may be slightly higher than in adults, this was normal to happen in healthy patients, and required no therapeutic measures.