title: Misdiagnosis of a normal fetal platelet count after coagulation of intrapartum scalp samples in autoimmune thrombocytopenic purpura.
abstract: Intrapartum fetal scalp sampling for platelet counts in maternal autoimmune thrombocytopenia has been advocated for determining route of delivery. We report a case in which two coagulated scalp samples were believed to indicate a normal fetal platelet count. As a result, vaginal delivery of a severely thrombocytopenic fetus was allowed.
authors.affiliation: Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas 77030.
authors.forename: K J
authors.initials: KJ
authors.lastname: Moise
authors.forename: D E
authors.initials: DE
authors.lastname: Patton
authors.forename: L E
authors.initials: LE
authors.lastname: Cano
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric; D003951:Diagnostic Errors; D005188:False Negative Reactions; D005260:Female; D005312:Fetal Blood / Q000737:chemistry*; D005315:Fetal Diseases / Q000097:blood / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn / Q000097:blood; D008297:Male; D010976:Platelet Count; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic; D016553:Purpura, Thrombocytopenic, Idiopathic; D013921:Thrombocytopenia / Q000097:blood / Q000175:diagnosis*