Maternal and fetal outcomes of primary immune thrombocytopenia during pregnancy: A retrospective study.
Obstet Med
; 11(1): 12-16, 2018 Mar.
Article
en En
| MEDLINE
| ID: mdl-29636808
ABSTRACT
OBJECTIVE:
We reviewed outcomes of 52 pregnancies in 45 women with immune thrombocytopenic purpura who delivered at Auckland Hospital with an antenatal platelet count of <100 × 109/L. OUTCOMEMEASURES:
Primary outcomes were maternal platelet count at delivery and treatment response. Secondary outcomes included post-partum haemorrhage (PPH).RESULTS:
Most women had thrombocytopenia at delivery. Treatment with prednisone was given in 14 (27%) pregnancies with responses considered safe for delivery in 11 pregnancies (79%). Women in eight pregnancies also received intravenous immunoglobulin; in five pregnancies (63%) a platelet response acceptable for delivery was achieved.Seventeen pregnancies (33%) were complicated by a PPH ≥500 mL. Ten pregnancies (19%) were complicated by a PPH ≥1000 mL. PPH was reported in all women with a platelet count <50 × 109/L at delivery.CONCLUSIONS:
There were no antenatal bleeding complications but PPH was common among women with platelet counts <50 × 109/L at the time of birth.
Texto completo:
1
Bases de datos:
MEDLINE
Tipo de estudio:
Observational_studies
Idioma:
En
Revista:
Obstet Med
Año:
2018
Tipo del documento:
Article
País de afiliación:
Nueva Zelanda