Ver el código de «ITP in Pregnancy»

==Background==
# marked diff btwn maternal and fetal platelet counts
# no antenatal measures predict fetal status
# maternal response to medicine does not guarantee a favorable outcome for baby
# only previous neonatal outcomes provide predictor of neonatal platelet counts.

==DDx==
(low platelets during pregnancy)

#preg induced HTN
#HELLP
#microangiopathic hemolytic anemia
#hereditary
#thrombocytopenias

==Diagnosis==
# usually mild thrombocytopenia (>70k) and
# platelet count normalizes p delivery

==Treatment==
# most meds teratogenic or  with pred- worsens gest diabtetes- so use iv ig mostly
# baby with v low risk of ICH- but higher of normal baby.
# risk of ICH not change with cesarean
# if baby with platelets <30k, try iv ig and or prednisone
# exchange xfusion only if severe.
# no problem for breast feeding.

==See Also==
HEME:  ITP

==Source==
6/06  MISTRY

[[Category:Heme/Onch]]
[[Category:OB/GYN]]