• Ayse Kirbas, Ali Ozgur Ersoy, Korkut Daglar, Turkan Dikici, Ebru Hacer Biberoglu, Ozgur Kirbas, and Nuri Danisman.
• Faculty, Department of Perinatology, Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara, Turkey .
• J Clin Diagn Res. 2015 Nov 1;9(11):QC20-3.

IntroductionPreeclampsia is a serious disease which may result in maternal and neonatal mortality and morbidity. Improving the outcome for preeclampsia necessitates early prediction of the disease to identify women at high risk. Measuring blood cell subtype ratios, such as the neutrophil to lymphocyte (NLR) and platelet to lymphocyte (PLR) ratios, might provide prognostic and diagnostic clues to diseases.AimTo investigate hematological changes in early pregnancy, using simple complete blood count (CBC) and blood concentrations of beta-human chorionic gonadotropin (β-hCG) and pregnancy-associated plasma protein-A (PAPP-A) to determine whether these measures are of any value in the prediction and early diagnosis of preeclampsia.Materials And MethodsSix hundred fourteen consecutive pregnant women with preeclampsia (288 with mild disease and 326 with severe disease) and 320 uncomplicated pregnant women were included in the study. Blood samples for routine CBC and first trimester screen, which combines PAPP-A and free β-hCG blood concentrations, were analyzed.ResultsThe NLR values were significantly higher in the severe preeclampsia group compared with the control group (p<0.001). We also confirmed that levels of PAPP-A were lower in patients who developed preeclampsia.ConclusionBecause measuring CBC parameters, particularly NLR, is fast and easily applicable, they may be used to predict preeclampsia.

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