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What Does This Blood Report Indicate?

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Posted on Mon, 28 Sep 2015
Question: I had a blood draw a day after delivery (vaginal). It was an uncomplicated delivery with no problems after. Can you please explain the values and if there is anything to be concerned about.
WBC- 13.75 thou/cmm
RBC- 3.69 mil/cmm
Hemoglobin- 11.2 gm/dl
Hematocrit- 33.6 %
MCV- 91.1 fl
MCH- 30.4 pg
MCHC- 33.3 gm/dl
Platlet- 230 Thousand/cmm
RDW-SD- 47.8 fl
RDW-CV- 14.4 %
MPV- 9.6 fl
Segmented Neutrophil Pct- 74.2%
Lymphocyte Pct- 18%
Monocyte Pct- 6.1%
Eosinophil Pct- 0.9%
Basophil Pct- 0.1%
Segmented Neutrophil #- 10.21 Thous/Cmm
Monocyte #- 0.84 thou/cmm
doctor
Answered by Dr. Shailja Puri (21 minutes later)
Brief Answer:
Report shows low Hb, high WBC & neutrophils, expected after blood loss

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.

A normal vaginal delivery is accompanied by blood loss to variable extent.
The blood report shows that your hemoglobin (Hb) level is slightly below normal biological interval.
The lower limit for hemoglobin in adult female is 12 gm%.
However, the hemoglobin can be explained because of blood loss during delivery.
The white blood cell (WBC) count is also raised with increased number of neutrophils.
An increase in WBC along with neutrophilic predominance can be seen after blood loss, however, the values come to normal within few hours or days.
Rest all the parameters are within range and there is nothing to worry.
You can get the hemogram repeated after a week and the parameters should come to normal.
If still the hemoglobin is low and WBC high then you need to consult your primary healthcare provider for investigation of low Hb and high WBC.
Low Hb is due to anemia and high WBC with neutrophilic predominance is usually due to infection.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Shailja Puri (1 hour later)
Of course im worried about some cancers because of the elevated WBC. Is the elevated wbc in the range to be overly concerned about where i should even think about cancer?Thanks for your detailed answer.
doctor
Answered by Dr. Shailja Puri (38 minutes later)
Brief Answer:
Your blood values does not indicate cancer.

Detailed Answer:
hello and welcome again,
The white blood cell count and the differential count does not indicate cancer.
Elevated WBC count is commonly associated with acute blood loss and infections.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Shailja Puri (2 days later)
I forgot to add these results- can you explain? You have been very helpful.
Creatinine- 0.4
Uric acid- 2.2
GFR estimate- 203 ml
Again, thank you for your assistance .
doctor
Answered by Dr. Shailja Puri (7 hours later)
Brief Answer:
Creatinine, uric acid and GFR are within normal range.

Detailed Answer:
Hello and welcome again,
The creatinine, uric acid and GFR are within normal range.
These tests assess the functioning of kidney which is normal.

Thanks and take care
Dr Shailja Puri
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 9705 Questions

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What Does This Blood Report Indicate?

Brief Answer: Report shows low Hb, high WBC & neutrophils, expected after blood loss Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic. A normal vaginal delivery is accompanied by blood loss to variable extent. The blood report shows that your hemoglobin (Hb) level is slightly below normal biological interval. The lower limit for hemoglobin in adult female is 12 gm%. However, the hemoglobin can be explained because of blood loss during delivery. The white blood cell (WBC) count is also raised with increased number of neutrophils. An increase in WBC along with neutrophilic predominance can be seen after blood loss, however, the values come to normal within few hours or days. Rest all the parameters are within range and there is nothing to worry. You can get the hemogram repeated after a week and the parameters should come to normal. If still the hemoglobin is low and WBC high then you need to consult your primary healthcare provider for investigation of low Hb and high WBC. Low Hb is due to anemia and high WBC with neutrophilic predominance is usually due to infection.