THE PREDICTIVE VALUE OF RED BLOOD CELL DISTRIBUTION WIDTH-COEFFICIENT OF VARIATION IN PREGNANT PATIENTS WITH TREATED THROMBOPHILIA WHO DELIVERED VIA CESAREAN SECTION AT TERM
Abstract
RDW-CV has predictive value in many early-pregnancy-related conditions. Research question: Can RDW-CV be utilized predictively in pregnant patients at term with thrombophilia? Materials and methods: We compared RDW-CV values, antepartum and postpartum, according to postpartum uterine involution, maternal features, and fetal outcomes in 79 pregnant patients with treated thrombophilia, who formed the study group, and in another 80 patients of a similar age and parity, who formed the control group. Every patient received a sonogram during the first 1–2 days after the cesarean section, and their uterine evaluation was interpreted using the PUUS (Postpartum Uterine Ultrasonographic Scale). Results: Our group of PUUS ≥ 1 pregnant and postpartum patients with treated thrombophilia was the only group with an RDW-CV value over 14. An RDW-CV of 14.5 was the highest value in the Rh-negative group of pregnant patients with treated thrombophilia. An RDW-CV of 14.48 was the highest level in the Rh-negative postpartum patients with treated thrombophilia. (4) Conclusions: An RDW-CV of ≥14 might predict uterine hematometra (PUUS ≥ 1). The RDW-CV values were higher in the Rh-negative patients.
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