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The role of inflammatory indices has been suggested in preterm labor.  Objectives: The possible relationship of some inflammatory and hematological markers were investigated as predictors of preterm labor.  Patients and Methods: Around 110 full-term and 109 preterm women were randomly enrolled. According to the gestational age at delivery, they were divided into two groups including <37 weeks and ≥37 weeks pregnancies. The patients’ age, body mass index (BMI), history of smoking were recorded. Selected hematological parameters, erythrocyte sedimentation rate (ESR) and high-sensitive C-reactive protein (hsCRP) were measured. Comparison of groups, the odd’s ratio and accuracy of each index were evaluated and assessed statistically.  Results: Overall, 110 full-term and 109 preterm mothers were evaluated. Mothers with preterm labor had higher WBC, hemoglobin, neutrophil proportion, neutrophil/lymphocyte ratio (NLR), platelet count, platelet/lymphocyte ratio (PLR), and ESR and also hs-CRP values. However, they had lower lymphocyte proportion than mothers with full-term delivery. Hs-CRP higher than 10.9 mg/L showed moderate sensitivity (50.46%) instead of high specificity (90.91%), while ESR >30 mm revealed 85.32% sensitivity and 93.64% specificity for predicting preterm labor. Lymphocyte ratio ≤22% and NLR >3.21 represented high sensitivity and plausible specificity. Hemoglobin >10.8 g/dL, platelet count >178000 cells/μL, PLR> 8.53 and WBC >7800 cells/μL showed adequate sensitivities with low to moderate specificities to predict preterm labor.  Conclusion: Most of the investigated variables were associated with preterm delivery. The cut-off values obtained here may help obstetricians to predict preterm delivery, and therefore to manage its complications, costs, hazards and care problems.

The accuracy of selected hematology and inflammatory indices for predicting preterm labor; a cross-sectional study