Paramètres hématologiques au cours de la dépression anténatale

La periode perinatale est propice a l'apparition ou a l'aggravation de nombreuses pathologies depressives susceptibles de retentir sur le deroulement de la grossesse et le developpement de l’enfant. Plusieurs mecanismes biologiques et psychosociaux peuvent affecter l’enfant et la mere. L’objectif de ce travail etait de decrire le profil hematologique du nouveau-ne et de sa mere au cours de la depression antenatale. L’etat mental des meres a ete evalue par le Patient Heath Questionnaire module (PHQ9). Le materiel biologique etait constitue du sang de cordon ombilical des nouveau-nes et du sang veineux des meres sur lesquels la numeration formule sanguine a ete realise. L’anemie etait presente chez 64,1% des deprimees de type hypochrome microcytaire et de 56,3% des non deprimees. L’hyperleucocytose a ete observe chez les deprimees (9,4%) et les non deprimees (7,8%). La thrombopenie et la thrombocytose ont ete observees independamment de l’etat mental, 56% des nouveau-nes etaient anemies. Une difference statistiquement significative a ete observe pour le taux de lymphocytes avec un p=0,033. La thrombopenie et la thrombocytose etaient presentes chez les nouveau-nes independamment de l’etat mental des meres. Le profil hematologique des meres et des nouveau-nes presente quelques particularites qui meritent d’etre explorees. © 2016 International Formulae Group. All rights reserved. Mots cles: Depression antenatale, Hemogramme, Nouveau-ne, femmes enceintes, Abidjan English Title:  Hematological parameters during antenatal depression English Abstract The perinatal period is favorable to the emergence or aggravating of many depressive pathologies which may have repercussions in the course of pregnancy and child development. Several biological and psychosocial mechanisms can affect the child and the mother. The purpose of this study was to describe the hematological profile of the newborn and his mother during the Depression. Mental status of mothers was evaluated by the PHQ9. The biological material consisted of the umbilical cord blood of newborns and mothers’ venous blood in which the blood count was performed. Anemia was present in 64.1% of depressed hypochromic microcytic type and 56.3% of non-depressed. Leukocytosis was observed in both depressed  (9.4%) and non-depressed (7.8%). thrombocytopenia and thrombocytosis were observed regardless of the mental state, 56% of newborns were anemic. A statistically significant difference was observed for the cell count with p = 0.033. Thrombocytopenia and thrombocytosis were present in newborns regardless of the mental state of mothers. The hematological profile of mothers and newborns has some features that worth exploration © 2016 International Formulae Group. All rights reserved. Keywords: Antenatal depression, hemogram, newborn, pregnant women, Abidjan