Manuscript Writing Service
International Journal of Clinical Obstetrics and Gynaecology

International Journal of Clinical Obstetrics and Gynaecology

Login     Signup
Print ISSN: 2522-6614, Online ISSN: 2522-6622

International Journal of Clinical Obstetrics and Gynaecology

2022, Vol. 6, Issue 5, Part A

Maternal and fetal outcome among pregnant women presenting with thrombocytopenia
Author(s): Dr. Rinku Kumari, Dr. Mamta Sharma and Dr Rajkumar
Abstract: Background: Thrombocytopenia is defined as platelet count less than 150000/μL.1,2 It is second only to anemia as the most common haematological abnormality encountered during pregnancy. Thrombocytopenia is encountered in 7-8% of all pregnancies but when patient’s obstetric and medical condition are excluded, incidence down to 5.1%.
Methods: This prospective observational study was conducted in the department of Obs & Gynae at Government Medical College & J. K. Lon hospital, Kota over a period of 1 year. Out of 2897 women, 1500 women willing to participate in the study and fulfilled our inclusion criteria. Out of 1500 women screened,100 women were found to have thrombocytopenia.
Results: Prevalence of thrombocytopenia was 6.67%. The distribution of thrombocytopenia with etiology is 56% with gestational thrombocytopenia,35% including pre-eclampsia, HELLP syndrome, eclampsia, gestational hypertension and superimposed pre-eclampsia and 9% including DIC, ITP, Dengue and Malaria and hypersplenism. Mean gestational age was 38.42±1.69 weeks.53% women delivered vaginally and 47% had delivered by LSCS. 42% patients needed blood and blood products transfusion and 58% patients no blood transfusion. Newborn 76.47% (78) had normal birth weight and 23.53% (24) had low birth weight with mean birth weight 2.58±0.49kg.33(31.35%) neonates required NICU admission and 68.65% (69) newborns were healthy. Out of 102 neonates, 94.12% (96) had normal platelet count and 5.88%(6) had thrombocytopenia. Neonatal mortality3.92% (4) neonates.
Conclusions: Most common cause of thrombocytopenia during pregnancy was gestational thrombocytopenia but other underlying causes must be considered as well. A careful examination and simple laboratory test are needed so that a serious condition that may require specific and urgent management (examples HELLP syndrome, severe pre-eclampsia, TTP, HUS, AFLP) is not missed. Management of pregnant women with platelet disorders requires a multidisciplinary approach.
Pages: 16-19 | 117 Views | 45 Downloads
Download Full Article: Click Here
How to cite this article:
Dr. Rinku Kumari, Dr. Mamta Sharma, Dr Rajkumar. Maternal and fetal outcome among pregnant women presenting with thrombocytopenia. Int J Clin Obstet Gynaecol 2022;6(5):16-19. DOI: 10.33545/gynae.2022.v6.i5a.1204
International Journal of Clinical Obstetrics and Gynaecology