[Pregnancy and delivery in women with thrombocytopenia].
Maternal immune thrombocytopenia is a frequent finding in pregnancy and is most commonly asymptomatic and clinically benign. 8 pregnant women with thrombocytopenia between January 1995 and December 2000, in Clinic of Obstetrics and Gynecology in Katowice-Ligota, were evaluated. 7 patients had idiopathic thrombocytopenia purpura and one (31 years old) had cirrhosis, splenomegaly, thrombocytopenia and elevated liver enzymes. 6 cases was steroid-treated with initial platelet count 4,000 per cubic millimeter to 115,000 per cubic millimeter after treatment. Alloimmune thrombocytopenia is a serious fetal disorder, resulting from platelet-antigen incompatibility between the mother and fetus. Among all newborns only one had thrombocytopenia, platelet count 45,000 per cubic millimeter, without neonatal intracranial hemorrhage. 6 women had cesarean section and 2 patients delivered naturally.
Szkodny
E
E
Katedry i Kliniki Połoznictwa i Ginekologii Sl.A.M. w Katowicach-Ligocie.
Sikora
J
J
Bakon
I
I
Zietek
J
J
D000328:Adult; D001792:Blood Platelets / Q000276:immunology; D036861:Delivery, Obstetric; D005260:Female; D005312:Fetal Blood; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D010976:Platelet Count; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000097:blood* / Q000175:diagnosis* / Q000628:therapy; D011256:Pregnancy Outcome; D011696:Purpura, Thrombocytopenic / Q000097:blood* / Q000175:diagnosis* / Q000628:therapy