Affiliation:
1. Prof Of Medicine, Shri B.M Patil Medical College And Research Centre, Vijayapura.
2. MD DM consultant haematologist and stem cell transplantation
3. 3 year JR, General Medicine Department, Shri B.M Patil Medical College.
Abstract
Thrombocytopenia (TCP) is a frequent observation in term obstetric populations. The majority of newly diagnosed instances of TCP are mild,
asymptomatic, and discovered during regular prenatal screening. The diagnosis and treatment of thrombocytopenia during pregnancy and
postpartum can be difcult due to the numerous potential reasons, some of which are directly related to the pregnancy and others that are not. There
are no diagnostic laboratory tests for many of the causes. Management choices may carry the risk of major consequences for both mother and
foetus, necessitating prompt delivery decisions, and there may be worries about foetal thrombocytopenia. Gestational thrombocytopenia (GT),
preeclampsia,HELLPsyndrome, and immune-mediated thrombocytopenia are common causes at term (ITP). Preeclampsia/HELLPsyndrome has
well-dened symptoms and test ndings, whereas the others are asymptomatic and indistinguishable. A25-year-old woman with new-onset TCPat
40 weeks gestation with 11000/Lplatelets recovered within 12 hours postnatally. After checking out other reasons of severe new-onset TCPat term,
therapy should focus on hemostasis before delivery
Subject
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