The Correlation of Maternal Leukocyte and NLR with APGAR Score in Caesarean Section at RSUD Dr. Soetomo 2023
Devi Sabrina Salma Akuf1, Kohar Hari Santoso2*, Indra Yuliati3 , and Ernawati4
Abstract
Background: Excessive inflammation can lead to morbidity and mortality in pregnant women and infants. The level of inflammation can be indicated by leukocyte levels and NLR. Caesarean section is performed to save both mother and baby, but it is associated with poor neonatal outcomes, as evidenced by lower APGAR scores. Research on the correlation between leukocyte levels, NLR, and APGAR scores in neonates born via caesarean section is still limited. Therefore, this study is important to conduct. Method: This is an observational retrospective study. The object of this study was patients who underwent caesarean section delivery with the following characteristics: no premature rupture of membranes or prolonged stages of labor, no signs of infection, no congenital anomalies, and a single, full-term, live pregnancy. The variables of this study were maternal NLR and APGAR score. Result: The median leukocyte counts for elective and emergency caesarean section was 9.48 ×109/L, while the median NLR for both groups was 4.14 and 5.21, respectively. The median first-minute APGAR score for elective and emergency caesarean sections were 7 and 6, respectively, while the fifth-minute APGAR score was 8 in both groups. In the elective group, no significant correlation was found between leukocyte levels and NLR with first and fifth-minute APGAR scores (p > 0.05). In the emergency caesarean section group, no significant correlation was found between leukocyte levels and the first-minute APGAR score (p > 0.05), but a significant correlation was found for the fifth-minute APGAR score (p < 0.05). A significant correlation was found between NLR and both first and fifth-minute APGAR scores (p < 0.05). Conclusion: There are significant correlations between maternal leukocyte and NLR with APGAR score in emergency caesarean section, particularly in 5-minute APGAR score.
Keywords
Leukocyte; NLR; APGAR score.
Cite This Article
Akuf, D. S. S., Santoso, K. H., Yuliati, I., Ernawati,. (2025). The Correlation of Maternal Leukocyte and NLR with APGAR Score in Caesarean Section at RSUD Dr. Soetomo 2023. International Journal of Scientific Advances (IJSCIA), Volume 6| Issue 1: Jan-Feb 2025, Pages 137-144, URL: https://www.ijscia.com/wp-content/uploads/2025/01/Volume6-Issue1-Jan-Feb-No.834-137-144.pdf
Volume 6 | Issue 1: Jan – Feb 2025
