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Relative Lymphocyte Cord Blood

Complete Blood Count

LYM% (cord)Lymphocyte percentage, cord blood

Review status

Currently under review

Pending specialist review and validation.

What it shows

This test measures the percentage of lymphocytes among all white blood cells in a blood sample taken from the umbilical cord at birth. It is part of the complete blood count with differential that helps describe a newborn’s immune cell profile at the moment of delivery.

Lymphocytes are a group of immune cells that identify and respond to infections. Reporting the relative percentage, rather than an absolute count, shows how lymphocytes compare with other white cells such as neutrophils and monocytes in the same sample.

Why it matters

Your baby’s care team may use this result to help evaluate infection risk, inflammation, stress around the time of birth, or immune concerns. Patterns in the white blood cell differential can support decisions about further testing, observation, or treatment when there are signs such as fever, breathing difficulties, or maternal risk factors.

Because this is a percentage, it rises or falls as other white blood cell types change. Looking at the lymphocyte percentage together with the absolute lymphocyte count, total white blood cells, and the rest of the differential provides a fuller picture of your baby’s condition.

Understanding your results

A higher or lower lymphocyte percentage can occur for many reasons, including the natural shifts that happen during labor and immediately after birth. The meaning of a single result depends on your baby’s overall exam, whether there were delivery stresses, and other lab values such as the absolute lymphocyte count and neutrophil patterns.

If the result is unexpected or does not match how your baby is doing clinically, the team may repeat the blood count, review maternal and delivery factors, or order additional tests. Most out-of-range findings at birth resolve as the newborn adjusts, but persistent or significant abnormalities may prompt closer follow-up with your pediatrician or a specialist.

Reference ranges

2134 %
All sexes
0 days – 2 days

Reference intervals vary by laboratory, analyzer, methodology, population, and units. The ranges shown here are for education only. Always interpret your results against the reference interval printed on your own lab report.

Factors that could impact Relative Lymphocyte Cord Blood

  • Timing after birth

    Values can shift in the first hours after delivery due to stress hormones and adaptation to extrauterine life, so early sampling may reflect transient changes.

  • Sample collection and handling

    Clotting, dilution with Wharton’s jelly, or delays in processing cord blood can alter the white blood cell differential and skew the lymphocyte percentage.

  • Maternal medications

    Antenatal corticosteroids, beta-agonists, and some immunosuppressants can affect neonatal white blood cell distribution, lowering or raising relative lymphocyte levels.

  • Gestational age

    Preterm and late-preterm infants have different baseline white blood cell patterns compared with term infants, which can influence relative lymphocyte results.

  • Delayed cord clamping

    Delaying clamping changes blood volume and hematologic parameters, which may modestly affect the white blood cell differential in the cord sample.

  • Infection or inflammation

    Chorioamnionitis, suspected sepsis, or viral illnesses can shift the balance of white blood cell types, influencing the lymphocyte percentage at birth.

2026

References

  1. McGill University Health Centre. (2018, May 03). Relative Lymphocyte Cord Blood (Task CD 21327850). Laboratory reference ranges.
  2. Clinical and Laboratory Standards Institute. (2010). Defining, establishing, and verifying reference intervals in the clinical laboratory; approved guideline, third edition (CLSI EP28-A3c).
  3. American College of Obstetricians and Gynecologists. (2017). Delayed umbilical cord clamping after birth (Committee Opinion No. 684).