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Blood leucocyte count in the human fetus.
  1. N P Davies,
  2. A G Buggins,
  3. R J Snijders,
  4. E Jenkins,
  5. D M Layton,
  6. K H Nicolaides
  1. King's College School of Medicine and Dentistry, Harris Birthright Research Centre for Fetal Medicine, London.


    Total and differential leucocyte counts were measured in cord blood samples obtained by cordocentesis (n = 316) or at elective caesarean section (n = 11) from normal fetuses of between 18 and 40 weeks' gestation. The total fetal leucocyte count increased exponentially from 2.8 x 10(9)/l at 18 weeks to 11.8 x 10(9)/l at term. The lymphocyte and monocyte counts increased linearly and the number of neutrophils increased exponentially from a mean value of 0.2 x 10(9)/l at 18 weeks to 0.8 x 10(9)/l at 31 weeks and then 8.5 x 10(9)/l at term. Early myeloid cells, eosinophils, and basophils were observed in 24%, 55%, and 15% of the blood films respectively; they contributed less than 2% to the total leucocyte count and there were no significant changes with gestation. The physiological leucopenia observed in fetuses early in the third trimester may partly explain the predisposition of premature neonates to infection.

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