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Cerebral Palsy Nucleated Red Blood Cells

Cerebral Palsy Neclead Red Blood Celss

Nucleated Red Blood Cells

During labor and delivery the baby can suffer from a lack of blood flow and or oxygen, the body will call up precursor red blood cells - extra red blood cells to carry much needed oxygen.  One can estimate the timing of problems during labor and delivery using nucleated red blood cells (Nrbc). 

After the infant’s birth, if one suspects that there has been a lack of oxygen and blood flow during labor and delivery, they will certainly want to check for the appearance of Nrbc.  Since a normal fetus does not have Nrbc, their presence is an indication that the baby may have suffered from a hypoxic ischemic encephalopathic insult during labor and delivery.  If there is a small amount of nucleated red blood cells at birth, then in effect what was happening was that the body was communicating a need for red blood cells to help carry the load.  Sometimes after birth, Nrbc may continue to rise or they may disappear.

The precise timing of Nrbc appearance and their relationship to when the problems started are not well defined. What is crucial is their presence or absence.  If an infant experienced an hypoxic ischemic encephalopathic insult, the presence of nucleated red blood cells after birth will confirmatory that fact.  In certain instances Nrbc will be identified in the placenta, (the organ in the mother’s body through which the fetus gets its nourishment). This is another way of confirming that the baby experienced a lack of oxygen and blood flow during labor and delivery.

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