Volume : IV, Issue : VI, June - 2015

A clinical study of thrombocytopenia in pregnancy

Dr. Latika Sahu, Dr. Asmita Rathore, Dr. Vaishali Paliwal

Abstract :

 OBJECTIVE– To study the etiology, severity, management and maternal and perinatal outcome of pregnancies complicated with thrombocytopenia. METHODS– This is a prospective study conducted from Apr 1st 2014 to Jan 31st 2015 in the dept of O&G, MAMC and Lok Nayak Hospital. The history, etiology, severity, management and maternal and perinatal outcome of pregnant women with thrombocytopenia were noted. RESULTS–Hundred three women out of 4567 deliveries during the study period were diagnosed to have thrombocytopenia during pregnancy. Most of the cases were gestational thrombocytopenia (80%), hypertensive disorders (15%) & others (5%). Majority of cases(66.02%)were of moderate thrombocytopenia and only 10.68% cases had severe thrombocytopenia.. Most of the cases(79.61%) have delivered after 40weeks of gestation. Most of the cases (96.11%) had vaginal delivery. Sixteen cases required <4 units, 8 cases required 5–8 units and 4cases required >8 units of platelet transfusion till they discharged from hospital. Nintythree cases (90.29%) had no maternal complication. Six cases had PostPartumHemorrhage. Ninty cases had hospital stay of <4 days and only 8.73% of cases had to stay >8 days in the hospital. Nine cases had premature babies.Two cases had intrauterine death of the fetus and two cases had intrauterine growth restriction and 1 baby had developed birth asphyxia. CONCLUSION: Maternal and perinatal outcome is good with gestational thrombocytopenia however thrombocytopenia with HELLP or medical disorder had comparatively poor outcomes.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Latika Sahu, Dr. Asmita Rathore, Dr. Vaishali Paliwal A Clinical Study of Thrombocytopenia in Pregnancy International Journal of Scientific Research, Vol : 4, Issue : 6 June 2015

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