gestational thrombocytopenia


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gestational thrombocytopenia

Immune thrombocytopenic purpura first seen in pregnancy, which carries the risk of neonatal thrombocytopenia and intracranial hemorrhage Management Conservative if ITP–a not uncommon event in ♀ of child-bearing yrs, first appears in pregnancy; no circulating antiplatelet antibodies are detected.

gestational thrombocytopenia

Thrombocytopenia occurring during pregnancy (usually less than 70,000 platelets/mm3). Serious illnesses that cause low platelet counts (such as disseminated intravascular coagulation, HELLP syndrome, idiopathic thrombocytopenic purpura, preeclampsia, systemic lupus erythematosus, or leukemia) should be ruled out. If no illness is present, the condition is usually benign.
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14 were suffering from gestational thrombocytopenia.
of cases=30 Diagnosis 10 Preeclampsia 04 HELLP 02 Acute fatty liver of pregnancy 14 Gestational thrombocytopenia. AGE OF PATIENTS:
Gestational thrombocytopenia. Clin Obstet Gynecol 1999;42:327-34.
Gestational thrombocytopenia and immune thrombocytopenia in pregnancy.
In hypertensive group 4% had moderate and 24% had mild thrombocytopenia, but in normal pregnancy just 14% had gestational thrombocytopenia. In both groups count returned back to normal following delivery.
Severity of thrombocytopenia in relation to the causes Etiology Maternal platelet count 50-74 x [10.sup.9]/L 75-119 x [10.sup.9] /L GT (n=45) 1 (50%) 12 (66.7%) PE (n=11) 0 2 (11.1 %) HELLP syndrome (n=3) 0 0 ITP (n = 2) 1 (50%) 1 (5.5%) Missed follow-up (n=7) 0 3 (16.6%) Totals 2 (100%) 18 (100%) 48 (100%) Grand Total 68 Etiology Maternal platelet count 120-149 x [10.sup.9] /L GT (n=45) 33 (68.8%) PE (n=11) 8 (16.7%) HELLP syndrome (n=3) 3 (6.2%) ITP (n = 2) 0 Missed follow-up (n=7) 4 (8.3%) Totals 2 (100%) Grand Total GT: Gestational thrombocytopenia; PE: Preeclampsia; HELLP: Hemolysis, elevated liver enzymes, low platelet count; ITP: Immune thrombocytopenic purpura Table 3.