Obstetrical Outcomes of Idiopathic Thrombocytopenic Purpura in Pregnancy / 대한주산의학회잡지
Korean Journal of Perinatology
; : 378-384, 2007.
Article
en Ko
| WPRIM
| ID: wpr-59231
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE: Idiopathic thrombocytopenic purpura (ITP) frequently occurs in young women. Consequently, clinicians often give medical treatment to pregnant women who are diagnosed with ITP. This study might help to make a clinical guidelines for obstetrical ITP patients and their infants. METHODS: We retrospectively investigated the medical charts of 19 cases of deliveries and 22 neonates which from mothers with the diagnosis of ITP during pregnancy from March 1998 to March 2007. RESULT: Corticosteroid treatment was administrated in 13 cases, high-dose immunoglobulin therapy in 3 cases, and concentrated platelet transfusion in 17 cases during their antenatal care. Ten (45%) vaginal deliveries and twelve (55%) cesarean sections were performed. There were no obstetrical complications associated with their ITP and only four infants with platelet counts below the 150,000/micronLiter were reported after birth. However there were not any signs and symptoms of neonatal complications resulting from their maternal ITP. CONCLUSION : Our results demonstrate that mothers with ITP can successfully deliver healthy infants in most case. Although maternal and fetal bleeding may occur, such a fatal complication is uncommon.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Recuento de Plaquetas
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Plaquetas
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Cesárea
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Estudios Retrospectivos
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Inmunización Pasiva
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Púrpura Trombocitopénica Idiopática
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Transfusión de Plaquetas
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Parto
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Mujeres Embarazadas
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Diagnóstico
Tipo de estudio:
Diagnostic_studies
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Guideline
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Observational_studies
Límite:
Female
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Humans
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Infant
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Newborn
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Pregnancy
Idioma:
Ko
Revista:
Korean Journal of Perinatology
Año:
2007
Tipo del documento:
Article