Abstract
(J Clin Anesth. 2020;62:109741) Preeclampsia is a multisystem disease that affects the coagulation system and platelets of 3% to 5% of all patients, and accounts for 16% of all prenatal thrombocytopenia cases. Routine neuraxial analgesia/anesthesia procedures carry a risk of the patient developing a spinal epidural hematoma, which is problematic for parturients with coagulation disorders. While health administrative bodies have advised that care providers consider platelet count before neuraxial anesthesia placement in preeclamptic patients, there is currently no agreed-upon minimum platelet count considered safe for a neuraxial anesthetic procedure. Beilin and colleagues conducted this study of preeclamptic patients to measure the frequency of platelet count <100,000 mm3, as well as to observe the percentage decrease in platelet count during the 72-hour period before delivery.
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