A 32-year-old gravida 6, para 3-0-2-3 woman presented at 39 weeks’ 2 days’ gestation for scheduled repeat cesarean section. Her history was notable for 2 spontaneous vaginal deliveries, 1 cesarean section, and macrosomia affecting 1 of her pregnancies. She had developed gestational diabetes, which was diet-controlled, in the current pregnancy. She had no history of anemia, and results of routine screening via hemoglobin solubility testing were within normal limits. She also had no known history of thrombocytopenia until the current pregnancy when her platelet count at 32 weeks’ gestation showed a downward trend, at 98,000/μL (98 × 109/L). The differential diagnosis included gestational thrombocytopenia, viral illness, hypertensive disorders in pregnancy, and immune thrombocytopenia (ITP). Serial blood pressure evaluations to monitor for hypertensive disorders in pregnancy (ie, preeclampsia with severe features, and hemolysis, elevated liver enzymes, and low platelets [HELLP] syndrome) were performed. She remained asymptomatic and normotensive, and...
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December 2022
Maternal-Fetal Case Studies|
December 01 2022
Neonatal Implications of Maternal Thrombocytopenia during Pregnancy
Neoreviews (2022) 23 (12): e852–e855.
Citation
Arlin Delgado, Stephanie Ros; Neonatal Implications of Maternal Thrombocytopenia during Pregnancy. Neoreviews December 2022; 23 (12): e852–e855. https://doi.org/10.1542/neo.23-12-e852
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