[Management of pregnant women complicated with idiopathic thrombocytopenic purpura].
Idiopathic thrombocytopenic purpura(ITP) is occasionally manifested during pregnancy by routine prenatal screening for blood cell counts. Since ITP can potentially cause serious hemorrhage both in mother and fetus, the accurate assessments as well as appropriate clinical managements are necessary for successful delivery. Several guidelines were introduced to manage the maternal thrombocytopenia by ITP in pregnancy and in labor. However, there still remain several controversies regarding the indication of measurement of fetal platelet counts by fetal blood sampling, especially by percutaneous umbilical blood sampling, to decide mode of delivery. The current obstetrical managements and their potential limitation are discussed in this review.
Itoh
Hiroaki
H
Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine.
Sagawa
Norimasa
N
Fujii
Singo
S
D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis; D006801:Humans; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000628:therapy*; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000175:diagnosis / Q000628:therapy*