[Labour epidural analgesia for a woman with hereditary macrothrombocytopenia].
Epidural analgesia is often considered as risk of epidural haematoma in a patient with thrombocytopenia. In this observation, uncomplicated epidural analgesia was performed in a pregnant woman with hereditary macrothrombocytopenia. She received continuous epidural labour analgesia for a vaginal delivery with a platelet count at 63x10(9)/l but platelets with high mean platelet volume (20fL) and normal function. No neurological sequelae or excessive bleeding occurred.
Raft
J
J
Service d'anesthésie-réanimation, maternité régionale de Nancy, 10, rue du Docteur-Heydenreich, 54042 Nancy cedex, France. Julien.raft@free.fr
Bayoumeu
F
F
de Maistre
E
E
Latger-Cannard
V
V
Savoye
E
E
Bouaziz
H
H
D000328:Adult; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D005260:Female; D046748:Hematoma, Epidural, Spinal / Q000517:prevention & control; D006801:Humans; D010976:Platelet Count; D011247:Pregnancy; D013921:Thrombocytopenia / Q000150:complications* / Q000235:genetics