What does high neutrophil count in pregnant women indicate

Elevated neutrophil count in pregnant women is usually a physiological response during pregnancy, which may be caused by hormonal changes, mild infections, stress reactions, dehydration, or inflammation. In most cases, no special treatment is required, but a comprehensive evaluation based on clinical symptoms is needed.

1. Hormonal changes:

Elevated levels of estrogen and progesterone during pregnancy can stimulate bone marrow hematopoietic function, leading to a mild increase in absolute neutrophil count. This physiological increase usually occurs in the middle and late stages of pregnancy, with values generally not exceeding 1.5 times the normal upper limit, and is not accompanied by symptoms of infection such as fever.

2. Mild infection:

Pregnant women have relatively reduced immunity and are prone to bacterial infections in respiratory and urinary systems. Neutrophils, as immune cells, have increased reactivity and may be accompanied by an increase in the total number of white blood cells. It is necessary to combine inflammatory indicators such as C-reactive protein for judgment, and if necessary, perform urine culture and other examinations.

3. Stress response: During pregnancy, the body is in a state of high metabolism, and tense emotions, severe morning sickness, or physical exertion before delivery may lead to stress-induced neutropenia. This transient elevation usually returns to normal after the cause is eliminated and does not require medication treatment.

4. Dehydration factors:

Loss of body fluids or insufficient water intake caused by morning sickness can lead to blood concentration, resulting in a relative increase in neutrophils. After correcting dehydration through fluid replacement, blood routine indicators can return to normal. It is recommended to maintain a daily water intake of at least 2000 milliliters.

5. Potential Inflammation: Chronic inflammations such as gingivitis and vaginitis may cause persistent neutrophil elevation. In such cases, specific infection foci need to be investigated, and if necessary, safe antibiotics such as cephalosporins should be used under the guidance of an obstetrician for treatment during pregnancy.

It is recommended that pregnant women undergo regular blood routine check ups, maintain a balanced diet, and supplement vitamin C in moderation to enhance immunity. Pay attention to oral hygiene in daily life, avoid raw and cold foods to prevent gastrointestinal infections. When there is a significant increase in neutrophils>10 × 10 ⁹/L accompanied by persistent fever, it is necessary to promptly screen for pregnancy complications such as chorioamnionitis. Moderate exercise such as yoga for pregnant women can improve blood circulation, but excessive fatigue should be avoided. All medications must strictly follow the doctor's advice and do not take antipyretic or anti-inflammatory drugs on your own.