IDIOPATHIC THROMBOCYTOPENIC PURPURA IN PREGNANCY & NEONATAL EFFECTS – A CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 32
Abstract
Thrombocytopenia, defined as a platelet count < 150,000/cu mm, is second only to anaemia as the most common hematologic abnormality encountered during pregnancy. Isolated thrombocytopenia may be due to gestational thrombocytopenia or primary immune thrombocytopenia. The second is thrombocytopenia associated with preeclampsia or thrombotic thrombocytopenic purpura and the hemolytic uremic syndrome. Our discussion includes the antenatal and perinatal management of both mother and fetus in idiopathic thrombocytopenic purpura. There are no large randomized controlled trials; however the guidelines based on available evidence to help guide practice. We report a case of a 29 year old Primigravida with placenta previa type II B, with chronic ITP and severe thrombocytopenia. The patient underwent an emergency LSCS as she started bleeding per vaginum. Neonatal thrombocytopenia was detected at 72 hours post partum and was managed successfully with intravenous immunoglobulin.
Authors and Affiliations
Hema Priya, Ambarish Bhandiwad
Keywords
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- EP ID EP127868
- DOI 10.14260/jemds/1106
- Views 70
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