English

Abstract

OBJECTIVE: To determine the changes in platelet count in HDP and normal pregnant women and to compare with severity and complications of pregnancy. MATERIAL AND METHODS: Prospective hospital based comparative study conducted over a period of one and half years. Study population includes 100 pregnant women in third trimester. Out of which 50 were normal pregnant women and 50 were HDP women. After admission history, physical examinations done and directed for laboratory studies like platelet count using automated blood cell counter. OBSERVATION: In study group out of 50 women 24 (48%) were between 21-25 yrs of age, showing more incidence in primigravida 35 (70%). The 29 (58%) had gestational hypertension and (14)28 % had mild to moderate thrombocytopenia with mean platelet count of 1.76 lakhs/cumm. In control group (7)14% had gestational thrombocytopenia with mean platelet count of 2.07 lakhs/cumm. Overall 20% hypertensive pregnant had thrombocytopenia. The incidence of the complications in the study group was 56%. The mean platelet count in complications secondary to HDP was within normal range. CONCLUSION: The incidence of Gestational thrombocytopenia is 14%. It doesn't have any effect on pregnancy. Perinatal outcome is basically favourable. Thrombocytopenia in HDP is of mild to moderate variety about 28% and rarely drops below severe level. HDP are affecting outcome of pregnancy in the form of complications without causing variation in the platelet count. Complications occuring are attributable to HDP but not due to thrombocytopenia.