RESUMEN
Pregnancy is a state of high metabolic demand. Anemia and thrombocytopenia, commonly as a result of the normal dilutional effect of increased plasma volume during pregnancy, are frequently seen in pregnant women but are not severe enough to require intervention unless aggravated by deficiency of micronutrients. Nutritional deficiency related anemia is often seen in developing countries. In this study, we describe seven cases of severe thrombocytopenia, anemia and leukopenia (pancytopenia) from the same geographic locality and similar clinical presentation. The cases were referred to the Tikur Anbessa Specialized Hospital (TASH) for investigation and treatment. Potential causes, methods of prevention and treatment options are discussed along with relevant clinical and laboratory findings of the cases.