Obstetrical Outcomes of Idiopathic Thrombocytopenic Purpura in Pregnancy / 대한주산의학회잡지
Korean Journal of Perinatology
; : 378-384, 2007.
Article
in Ko
| WPRIM
| ID: wpr-59231
Responsible library:
WPRO
ABSTRACT
OBJECTIVE:
Idiopathic thrombocytopenic purpura (ITP) frequently occurs in young women. Consequently, clinicians often give medical treatment to pregnant women who are diagnosed with ITP. This study might help to make a clinical guidelines for obstetrical ITP patients and their infants.METHODS:
We retrospectively investigated the medical charts of 19 cases of deliveries and 22 neonates which from mothers with the diagnosis of ITP during pregnancy from March 1998 to March 2007.RESULT:
Corticosteroid treatment was administrated in 13 cases, high-dose immunoglobulin therapy in 3 cases, and concentrated platelet transfusion in 17 cases during their antenatal care. Ten (45%) vaginal deliveries and twelve (55%) cesarean sections were performed. There were no obstetrical complications associated with their ITP and only four infants with platelet counts below the 150,000/micronLiter were reported after birth. However there were not any signs and symptoms of neonatal complications resulting from their maternal ITP.CONCLUSION:
Our results demonstrate that mothers with ITP can successfully deliver healthy infants in most case. Although maternal and fetal bleeding may occur, such a fatal complication is uncommon.Key words
Full text:
1
Index:
WPRIM
Main subject:
Platelet Count
/
Blood Platelets
/
Cesarean Section
/
Retrospective Studies
/
Immunization, Passive
/
Purpura, Thrombocytopenic, Idiopathic
/
Platelet Transfusion
/
Parturition
/
Pregnant Women
/
Diagnosis
Type of study:
Diagnostic_studies
/
Guideline
/
Observational_studies
Limits:
Female
/
Humans
/
Infant
/
Newborn
/
Pregnancy
Language:
Ko
Journal:
Korean Journal of Perinatology
Year:
2007
Type:
Article