Volume 9, Issue 2 (2024)
SJMR 2024, 9(2): 129-133 |
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Karamnia Far M. Management of Thrombocytopenia During Pregnancy: A Case Report. SJMR 2024; 9 (2) : 8
URL: http://saremjrm.com/article-1-338-en.html
URL: http://saremjrm.com/article-1-338-en.html
Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
Abstract: (645 Views)
Introduction: Thrombocytopenia during pregnancy is one of the most common hematological abnormalities, which may occur due to various obstetric or systemic disorders. This condition rarely results in life-threatening complications, and its management typically focuses on addressing the underlying cause. This study aims to present the management of thrombocytopenia in pregnancy through a case report conducted at Sarem Super-Specialty Hospital in Tehran.
Case Presentation: This case report describes a 37-year-old pregnant woman, G1P0Ab0, in her third trimester, diagnosed with idiopathic thrombocytopenic purpura (ITP). The patient was under continuous medical supervision and received corticosteroid therapy due to severe thrombocytopenia and coexisting hypothyroidism. At 38 weeks of gestation, an elective cesarean section was performed due to ITP and cephalopelvic disproportion. A healthy female neonate weighing 2860 grams with Apgar scores of 9/6 was delivered. Despite experiencing bradycardia and apnea within the first 24 hours, the neonate’s platelet counts and blood glucose levels were within the normal range.
Conclusion: The management of thrombocytopenia during pregnancy requires thorough evaluation of the underlying cause and continuous monitoring. In this case, a multidisciplinary approach led to the successful discharge of both the mother and the neonate in good general condition. This report highlights the importance of precise management in complex cases of thrombocytopenia during pregnancy.
Case Presentation: This case report describes a 37-year-old pregnant woman, G1P0Ab0, in her third trimester, diagnosed with idiopathic thrombocytopenic purpura (ITP). The patient was under continuous medical supervision and received corticosteroid therapy due to severe thrombocytopenia and coexisting hypothyroidism. At 38 weeks of gestation, an elective cesarean section was performed due to ITP and cephalopelvic disproportion. A healthy female neonate weighing 2860 grams with Apgar scores of 9/6 was delivered. Despite experiencing bradycardia and apnea within the first 24 hours, the neonate’s platelet counts and blood glucose levels were within the normal range.
Conclusion: The management of thrombocytopenia during pregnancy requires thorough evaluation of the underlying cause and continuous monitoring. In this case, a multidisciplinary approach led to the successful discharge of both the mother and the neonate in good general condition. This report highlights the importance of precise management in complex cases of thrombocytopenia during pregnancy.
Article number: 8
Keywords: Idiopathic or Isoimmune Thrombocytopenia (ITP), Pregnancy, Management Protocol, Platelet Count Reduction.
Article Type: Case Report |
Subject:
Pregnancy Care
Received: 2024/08/20 | Accepted: 2024/08/31 | Published: 2024/12/23
Received: 2024/08/20 | Accepted: 2024/08/31 | Published: 2024/12/23
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