Immunologic Thrombocytopenic Purpura and Pregnancy

Publisher Website
Google Scholar
Abstract
Six new cases of idiopathic thrombocytopenic purpura (ITP) associated with pregnancy are reported; 1 of these patients delivered triplets. Seventy-eight patients with 122 pregnancies and 124 fetuses were reported previously. The maternal mortality rate was 4% and the fetal mortality rate was 18%. Prior recommendations for elective cesarean section in all mothers with a platelet count less than 100,000/mm3 at delivery is not supported by the data available. Treatment of pregnant women with ITP with adrenal corticosteroids has virtually eliminated maternal mortality, has replaced splenectomy as the therapy of choice during pregnancy, but has had little effect on fetal mortality.

This publication has 5 references indexed in Scilit: