Case series of gestational thrombocytopenia

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Article type :

Case Series

Author :

Nandhini Raman*, Maya Menon

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Abstract :

The antepartum diagnosis of maternal thrombocytopenia has become more common because platelet counts are now routinely obtained as a part of prenatal screening. We are reporting three cases of gestational thrombocytopenia, diagnosed clinically, admitted, evaluated and managed. Two cases reverted back to their normal status soon after delivery. Case one who presented as gestational thrombocytopenia was diagnosed as Immune thrombocytopenic purpura (ITP) and is on treatment and platelet monitoring even after delivery. Commonest platelet deficiency seen in obstetrics is Gestational thrombocytopenia which is 80%, but other underlying causes must be considered as well. A thorough history and physical examination rules out most causes. There is a positive correlation between thrombocytopenia with adverse fetomaternal outcome. Hence serial platelet monitoting should be done.  

Keyword :

Gestational thrombocytopenia, Immune thrombocytopenia, serial platelet monitoring, Adverse fetomaternal outcomes, Steroids, Intravenous immunoglobulin
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