Evaluation of thrombocytopenia in pregnancy; Its effects on maternal and fetal outcome
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 4, Issue 2
Abstract
Thrombocytopenia is an independent and important risk factor for the occurrence of maternal and perinatal complications. Thrombocytopenia is associated with high incidence of preterm deliveries, fetal distress and intrauterine growth restriction. Moderate to severe maternal thrombocytopenia points to a higher degree of severity of the primary disease, which increases perinatal complications. However, the adverse outcome is specifically attributed to preeclampsia, HELLP syndrome, and rare causes, while the perinatal outcome of GT and ITP is basically favourable. Pregnant women with thrombocytopenia have higher risk of bleeding excessively during and after childbirth, particularly they need to have caesarean section or other surgical intervention during pregnancy, labor, puerperium. Such bleeding complications are likely when platelet count is less than 150 x109/l. Hypertensive and hepatic disorders are the most common obstetric causes of thrombocytopenia. Mode of delivery was not affected by thrombocytopenia. Maternal morbidity and mortality was seen only in medical and obstetric thrombocytopenia. The low platelet counts and declining trend with increasing gestational age predispose Indian women to risk of thrombocytopenia and a routine platelet count is suggested. This study is designed to study causes of thrombocytopenia, the effect of maternal and fetal outcome.
Authors and Affiliations
S Vanaja, Mahalaxmi 2, Tripura Sundari
Keywords
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