Idiopathic thrombocytopenic purpura in pregnancy / Philippine Journal of Obstetrics and Gynecology

ABSTRACT

A case of Idiopathic Thrombocytopenic Purpura (ITP) in pregnancy managed by multidisciplinary team approach is discussed. A case of 35-year old patient with ecchymoses and easy bruisability at four months age of gestation is presented. Diagnostics revealed prolonged bleeding time with peripheral blood smear and bone marrow aspirate biopsy consistent with ITP. Pertinent findings and evidence on management strategies on ITP in pregnancy were discussed and a consensus was arrived at. The patient was maintained on oral steroids, underwent fetal being surveillance and platelet count monitoring. Patient unremarkably delivered vaginally to a term livebirth who eventually developed neonatal thrombocytopenia. The neonate was treated with steroids and likewise discharged improved.