Fetomaternal outcome in pregnancy with severe thrombocytopenia

OBJECTIVES: STo study the feto- maternal outcome in pregnancy with severe throm- bocytopenia. MATERIALS AND METHODS: It was an obser- vational study involving 1150 pregnant women with term gestation in labour, who were screened for thrombocytopenia. Ninety-four sub- jects (8.17%) were found to have thrombocy- topenia i.e. platelet count 1.5 lac/mm 3 formed the con- trol group. All the subjects were followed during labour and postpartum period for any feto-ma- ternal outcome. RESULTS: Significant history of bleeding ten- dencies like prolonged bleeding from wound site, easy bruisability and menorrhagia (p = 0.023) was evident in the study population. Abruptio placentae and early onset pregnancy induced hypertension (PIH) in previous gesta- tions was more commonly found in the study population. Anemia and PIH were significantly more in group A. Incision site oozing during ce- sarean section was significantly more in group A. Moderate thrombocytopenia was more in neonates of study group (p = 0.014), but without any bleeding complications in neonates. CONCLUSIONS: Careful surveillance is re- quired in these high risk patients for earlier de- tection and treatment of complications so as to decrease the fetomaternal morbidities.