Prevalence of thrombocytopenia in Parturient: Experience in Tertiary Care Center
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 1
Abstract
Introduction: Thrombocytopenia can result from a wide range of conditions with several of them being pregnancy related. Obstetricians manage most cases of pregnancy-associated thrombocytopenia. Thus, a working knowledge of the clinical features and management of thrombocytopenia in pregnant women is important. The objective of the study was to evaluate the causes of thrombocytopenia and its effect on maternal and neonatal outcome in parturient women and also evaluate the obstetric risk factors, complications, and outcome of pregnancies complicated by thrombocytopenia. Materials and Methods: A prospective study of 100 antenatal women with thrombocytopenia who delivered at St John’s Medical College Hospital during a one and a half year period. The blood samples of pregnant women in labor room were collected at the time of admission. These women were followed up till they deliver. Results: The main causes of thrombocytopenia were hypertensive disorders: preeclampsia (15%), Hemolysis, elevated liver enzymes, and low platelets (24%) and eclampsia (4%); idiopathic thrombocytopenic purpura (16%), gestational thrombocytopenia (11%). Women with hypertensive disorders had higher rates of cesarean delivery (65%), intrauterine growth restriction (30%) and preterm deliveries (31%). Hemorrhagic complications are common in rarer causes of thrombocytopenia. Conclusion: The adverse outcome is specifically attributed to preeclampsia, HELLP syndrome and rare causes. While the perinatal outcome of GT and ITP is basically favorable. Careful surveillance is required for these women in high-risk units for early detection and treatment of possible complications, in order to reduce adverse maternal and neonatal outcomes.
Authors and Affiliations
Shashikala Karanth, Shruthi K, Sheela C N, Cecil Ross
Keywords
Related Articles
- EP ID EP474041
- DOI 10.18231/2394-2754.2018.0022
- Views 105
- Downloads 0
Anti-mullerian hormone as a diagnostic marker in women with polycystic ovary syndrome
Plasma levels of AMH in women serves as an important biomarker of ovarian reserves and indicates the small follicular growth. The reproductive span in healthy women is predicted by progressive age related decline of plas...
Risk factors for meconium stained liquor and outcome of neonate in meconium stained amniotic fluid
Background and Objectives: Meconium stained amniotic fluid has been considered a sign of fetal distress in presentations other than breech and associated with poor fetal outcome but others considered meconium passage by...
To study the effect of epidural analgesia on second stage of labor and mode of delivery
Epidural analgesia is regional anaesthesia that blocks pain in a particular region of the body The use of epidural analgesia EA in labor is widespread in modern labor ward practice and its benefits in terms of pain relie...
Contraceptive awareness, and practices among rural women in Lucknow
Objective This cross sectional observational study was done to asses awareness regarding family planning methods and the practice of contraceptives among rural women in LucknowMaterials and Methods Five hundred women bet...
Thrombocytopenia in Pregnancy
Objective: To study the proportion of thrombocytopenia in normal pregnancy, compare it with thrombocytopenia in pregnancy with associated complications. It was also to study maternal and fetal outcomes in pregnancies ass...