[Prenatal evaluation of the platelet counts in the fetuses and the neonates of the mothers complicated with idiopathic thrombocytopenic purpura].
We investigated 25 pregnancies with ITP. The results were as follows. 1. The platelet counts of the maternal blood just before delivery were not correlated with those of the cord blood. 2. It was suggested that the maternal PAIgG value just before delivery could foretell the onset of neonatal thrombocytopenic purpura. 3. The platelet counts in fetal scalp blood were correlated with those of the cord blood, but falsely lower platelet counts were found in the fetal scalp samples. 4. We saw 5 cases of percutaneous umbilical blood sampling (PUBS) in pregnancies with ITP. PUBS was found to be a useful and safe method. The indications for PUBS and fetal platelet transfusion in pregnancy with ITP are discussed.
Department of Obstetrics and Gynecology, Osaka University Medical School.
K
K
Masuhiro
N
N
Mitsuda
M
M
Iwata
T
T
Hosono
I
I
Iwata
T
T
Takagi
O
O
Tanizawa
Y
Y
Kurata
D002585:Cesarean Section; D005260:Female; D005333:Fetus / Q000378:metabolism*; D006801:Humans; D007231:Infant, Newborn / Q000097:blood*; D010976:Platelet Count; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic; D011263:Pregnancy Trimester, Third; D011296:Prenatal Diagnosis; D016553:Purpura, Thrombocytopenic, Idiopathic