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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2784425/
In the absence of a platelet count prior to pregnancy, significant thrombocytopenia in the first trimester, with a declining platelet count as gestation progresses, is most consistent with ITP. In contrast, mild thrombocytopenia developing in the second or third trimester and not associated with hypertension or proteinuria most likely represents incidental thrombocytopenia[ 11 ].Author: Evi Stavrou, Keith R. McCrae
http://www.globalitp.org/index.php/about-itp/itp-in-pregnancy
If a woman has ITP and becomes pregnant, her platelet count may drop in the third trimester or she may relapse. However, treatments such as IVIg or prednisone can be given to raise the platelet count for delivery.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142617/
Dec 08, 2017 · ITP occurs in 1 in 1000 to 10 000 pregnancies. Although ITP accounts for only ∼3% of all cases of thrombocytopenia during pregnancy, it is the most common cause of a platelet count below 50 × 10 9 /L detected in the first and second trimesters (Figure 2).Author: Douglas B. Cines, Lisa D. Levine
https://emedicine.medscape.com/article/208697-treatment
Aug 19, 2019 · In pregnancy, treatment for immune thrombocytopenic purpura (ITP) and neonatal alloimmune thrombocytopenia (NAIT) involves two patients: the mother and the fetus. In cases of ITP, care of the mother centers on minimizing her risk of bleeding during pregnancy and childbirth.
https://www.draliabadi.com/obstetrics/high-risk-obstetrics/gestational-thrombocytopenia/
Moreover, most pregnant women with ITP may have a history of thrombocytopenia prior to pregnancy or may present with other immune-mediated diseases. Mild gestational thrombocytopenia is relatively frequent during normal pregnancy and has generally no consequences for …
https://ashpublications.org/blood/article/121/1/38/31058/How-I-treat-thrombocytopenia-in-pregnancy
Jan 03, 2013 · ITP is not an indication for cesarean delivery. 6,19 Mode of delivery in a pregnant patient with ITP is based on obstetric indications, with avoidance of procedures associated with increased hemorrhagic risk to the fetus (eg, forceps, vacuum extraction, and fetal scalp electrode/samples). 6 Most neonatal hemorrhages occur at 24-48 hours and are actually not related to trauma at the time of delivery…Author: Terry Gernsheimer, Andra H. James, Roberto Stasi
http://ir.uiowa.edu/cgi/viewcontent.cgi?article=1193&context=pog
to pregnancy, persistence after delivery and response to ITP- directed therapy (steroids, IVIG) makes ITP a more likely diagnosis.
https://www.uptodate.com/contents/thrombocytopenia-in-pregnancy#!
Pregnancy in patients with idiopathic thrombocytopenic purpura: assessing the risks for the infant at delivery. Obstet Gynecol Surv 1993; 48:781. Yamada H, Kato EH, Kishida T, et al. Risk factors for neonatal thrombocytopenia in pregnancy complicated by idiopathic thrombocytopenic purpura.
https://www.pregnancy-baby-care.com/articles/720/during-delivery/low-platelets-count-during-delivery.html
Jan 19, 2012 · A low platelet count during delivery needs to be monitored carefully, as does the health of the expectant mother, both, during and after the process of childbirth. During a pregnancy, and if you have a history of low platelet counts, it is advisable that you refrain from the …
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