This study was carried out in order to determine the
role and importance of MPV for diagnosis and follow up of
subclinical infections in PPROM and to compare the values
of ProCT, CRP and WBC.
Methods: The patient group consists of 38 patients
diagnosed for PPROM and control group consists of 43
healthy pregnant women between 24 and 34 gestational
weeks. WBC, ProCT, CRP and MPV values of patients at
diagnosis, delivery and values of women in control groupwere
assessed and compared. The placental pathology reports of
patient group were examined. WBC, ProCT, CRP and MPV
values of those having chorioamnionitis were compared.
Results: In study group, the WBC (17.01 ± 4.82), CRP
(1.15 ± 0.74), and ProCT (0.08 ± 0.05) values measured
before the delivery were significantly higher than those
measured at the moment of diagnosis. Of the study group,
the WBC (11.97 ± 2.59) and CRP (0.48 ± 0.29) values
measured at the moment of diagnosis were significantly
higher than those of control group. Prenatal WBC (17.01
± 4.82), CRP (1.15 ± 0.74) and ProCT (0.08 ± 0.05) values
of patients were statistically significantly higher than those
of control group. CRP (1.73±0.67) values of patients with
chorioamnionitis were higher than those of patients having
no chorioamnionitis. There was no significant relationship
between MPV values of the groups.
Conclusion: WBC, CRP and ProCT can be interpreted to
be capable of diagnostically predicting the intrauterine
infection. No statistically significant relationship was found
between MPV, diagnosis and sub-clinic infection in PROM.