Idiopathic Thrombocytopenic Purpura in Pregnancy

Abstract

ABSTRACT Idiopathic thrombocytopenic purpura (ITP) is a diagnosis of exclusion. It is an autoimmune disorder caused by development of IgG autoantibodies, directed against a number of platelet glycoproteins. A 26 years, primigravida, booked from 30 weeks of gestation, admitted at Sri Ramachandra Medical College and Hospital at 36 weeks of gestation, with gestational hypertension and severe thrombocytopenia with a platelet count of 45,000/mm3. She was treated with intravenous steroids during her antenatal period for thrombocytopenia. She delivered a healthy baby girl of weight 2.4 kg by cesarean section and was breastfed. Intraoperatively, platelet transfusion was given. Postoperatively, she was on methyl prednisolone following which a good increment in the platelet count was noticed and then discharged. The aim is to clarify when thrombocytopenia in pregnancy is clinically important, to provide guidance regarding diagnosis, management options and information about potential risks to the mother and the fetus along with the review of relevant literatures. How to cite this article Sithara D, Rajeswari KS, Sivasundari M. Idiopathic Thrombocytopenic Purpura in Pregnancy. J South Asian Feder Obst Gynae 2015;7(2):95-96.