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Is a high White Blood Cell Count (WBC) during pregnancy harmful?

April 18, 2023

A high White Blood Cell count in pregnancy is deemed abnormal in a pregnant woman. Ahigh WBC count in pregnancy implies that there is an underlying infection in the body. It is apparent that the body of a woman undergoes a lot of shifts during pregnancy, be it emotional, physical or even mental changes. A common change that strikes fear during this path of pregnancy is a hematological alteration. These are evident changes that are seen in hemoglobin, RBC, platelets and WBC.

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WBC during pregnancy

What are the Symptoms of High White Blood Cell Count in Pregnant Women?

Although the above are some signs of the body having more white blood cells during pregnancy, there have been cases where some women show no sign at all. To know if you have a problem, it is always better to practice caution and get your blood count checked by an expert to see what range you should be in. This brings up the question: What is the typical pregnancy white blood cell count? Or what is the normal WBC count in pregnancy? In pregnant women, the average white blood cell count is from 4,500 to 11,000/nm3. During pregnancy, the minimum amount to be maintained is 6,000/nm3. During the 3rd trimester, a range of 12,000 - 18,000/nm3 is safe.

Why Does the WBC Count Increase During Pregnancy?

Now that we know what is WBC, you must wonder why the white blood cell count increases in pregnancy or what is WBC’s normal range in pregnancy. It is a known fact that pregnancy is unique from one woman to another. Although there is no explicit reason, experts believe that the presence of a high WBC count in pregnancy is to keep the carrying mother healthy. Nonetheless, here are some reasons why the white blood cell count increases in pregnancy.

  • Simply because you are pregnant: It is no surprise that pregnancy equals stress. This can cause an increase in WBC count in pregnancy. Helping yourself to relax both physically and mentally is a must.
  • Infection: Since WBC are the fighters of infection, even a slight infection, say on your eye or throat, can spike up the WBC count in your body.
  • Inflammation or Autoimmune Disease: If you suffer from rheumatoid arthritis and lupus, this can be a trigger for a high WBC count. The same goes if your body sees an allergic reaction or an inflammation.
  • Leukaemia: This is the most disastrous cancer that is found in blood, the bone marrow produces a certain kind of WBC, resulting in a high count. Leukaemia is not common in pregnant women, however, if you feel you have this condition, fear not, as there are plenty of treatment options available now to keep your infant safe.

How Early Can White Blood Cell Levels Rise in Pregnancy?

WBC count in pregnancy: What is normal? White blood cell (WBC) levels can begin to rise as early as the first trimester of pregnancy. This increase is a normal part of the body’s immune response, which supports and protects both the mother and the developing fetus. The WBC count in pregnancy, first trimester, may remain within the upper end of the normal non-pregnant range (4,500–11,000 cells per microliter) but may begin to increase slightly. As pregnancy progresses, the normal range increases to approximately 13,200–15,900 cells per microliter.

During the second trimester, WBC levels often continue to rise, reflecting the body's adjustment to pregnancy-related changes such as increased blood volume and mild physiological stress. 

WBC count in the third trimester can increase significantly, sometimes reaching up to 15,000 cells per microliter or more, particularly in the weeks leading up to delivery. 

This rise is usually due to heightened immune activity and hormonal fluctuations. A temporary spike in WBC levels can also occur during labour and shortly after childbirth. While elevated WBCs in pregnancy are generally considered normal, especially without symptoms of infection, a healthcare provider should evaluate any sudden or sharp increases to rule out underlying issues.

Is It Harmful to Have A High WBC Count During Pregnancy?

If your WBC count during pregnancy is high, it does not always mean that it is harmful. Your WBC levels would be high naturally due to your pregnancy, as your immune system adjusts to protect you and your baby. However, if the count is very high, it may indicate inflammation, infection or other medical conditions that require expert advice. Understanding the WBC in pregnancy normal range is vital. If the count is mild, it is harmless; however, if it is very high, consulting your doctor to rule out infections, such as respiratory or urinary tract infections, is necessary. Early diagnosis and treatment are crucial to protect the health of both the mother and the fetus throughout pregnancy.

How Can You Stay Healthy?

Maintaining a healthy WBC count during pregnancy begins with a balanced, nutrient-rich diet. Focus on eating vegetables and fruits such as spinach, oranges, carrots and berries that are rich in vitamins A, C and E, which help support a strong immune system. Include lean proteins, such as eggs, chicken, and legumes, which support cell growth and repair. Foods high in zinc, such as nuts, seeds, and whole grains, are also important, as zinc plays a key role in WBC production. Iron-rich foods, such as leafy greens, red meat, and lentils, help maintain healthy blood levels and overall immunity. 

Probiotics found in yoghurt and fermented foods support gut health, which is closely linked to immune function. Stay hydrated and avoid excess sugar and processed foods, which can weaken the immune system. Additionally, taking a prenatal vitamin as advised by your doctor can fill any nutritional gaps. Combined with regular prenatal care, moderate physical activity, adequate sleep, and effective management, a well-balanced diet can help support a normal WBC count and overall well-being during pregnancy.

What Happens if the Count of WBC is High During Pregnancy?

We have seen what causes a high WBC count in pregnancy. What actually happens when the pregnant body sees a spike in WBC count? Can high white blood cell count affect pregnancy? Unless you have any of the indications mentioned above, a high WBC count in pregnancy means nothing. It just means that the body is coping and immunising itself to accommodate the little bundle of joy that is growing inside of you.

How is a High WBC Count in Pregnancy Diagnosed?

Several factors are taken into consideration to diagnose a high WBC count in a pregnant mother. These factors include:

  • Any medical background: The doctor may ask for any previous conditions or surgery you may have undergone.
  • Examining the body: Your healthcare professional may carry out a full body examination, to look for infections. This could involve monitoring your vital signs, such as your blood pressure, abdomen and any swelling in any part of your body.
  • Lab tests: To determine the cause of the high WBC count, doctors would advise you to perform a few straight forward lab tests. These tests include a CBC count, a culture test to specify any infection with bacteria, thyroid tests, etc.

Must Read : Hemoglobin Levels in Pregnant Women: Natural Ways to Up Your Platelet Count

How to get Treated for a High WBC Count, Should You Have one?

The initial step would be to note any apparent changes from the normal. If you find yourself having anything out of the ordinary, then get an expert to check on you. Once you are tested, the doctor will advise on how to proceed. If you are diagnosed with a high WBC count; your doctor can put you on some antibiotics to cure you of the same. In most other cases, you maybe asked to take another test or be referred to other specialists to determine the exact cause and eliminate it

Pregnancy can be a rollercoaster ride. Even though some have a smooth sail during this time, many face a lot of changes in themselves. Your main focus should be to stay calm, as we have learned that stress can cause a high white blood cell count in pregnant women. This is why mothers are advised to stay happy during this whole period. If you feel anything out of the ordinary, do not self-medicate or come to any conclusions of your own. Self-medication cannot only pose a threat to you, but you may be putting your baby in danger too. Stay calm, always keep an emergency phone number handy and immediately seek medical help should things go overboard.

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