evaluation of laboratory disorders in admitted neonates in nicu who were born to preeclamptic mothers

background preeclampsia is a major cause of maternal, fetal and neonatal morbidity and mortality. objectives the aim of this study was to determine the laboratory disorders in neonates born to preeclamptic mothers. patients and methods this descriptive-retrospective study was conducted in the neonatal units of shahid beheshti and shabihkhani hospitals on neonates born to preeclamptic mothers during 2009 - 2012. neonatal data including gestational age, gender, mode of delivery, birth weight and laboratory reports were extracted from their medical records and analyzed. results a total of 2600 newborns were admitted during the study period, of which 84 infants were born to mothers with preeclampsia. the laboratory disorders were neutropenia in 32 cases (37%), anemia in 33 (39.2%), leucopenia in 24 (28.5%), thrombocytopenia in 23 (27.3%), hypoglycemia in 28 (33.3%), hypocalcemia in 22 (26.1%) and hyperbilirubinemia in 33 (39.2%) patients. thirty one infants (35.6%) had positive cultures .twenty nine patients (35%) developed coagulative disorders with prolonged pt and ptt. evaluation of abg showed 16 infants (19%) with metabolic acidosis, 23 (27.3%) hypoxia and 24 (28.5%) respiratory acidosis cases. all the laboratory abnormalities were more common in preterm and low birth-weight-infants. conclusions early detection and timely management of laboratory disorders in preeclamptic infants may lead to improvement of the neonatal outcomes.