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PREGNANCY COMPLICATED BY ACUTE IDIOPATHIC THROMBOCYTOPENIC PURPURA
Author(s) -
Jones W. R.,
Storey B.,
Norton G.,
Neische F. W.
Publication year - 1974
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1974.tb00471.x
Subject(s) - splenectomy , medicine , caesarean section , pregnancy , thrombocytopenic purpura , purpura (gastropod) , surgery , obstetrics , pediatrics , platelet , spleen , biology , genetics , ecology
Summary Two patients are described who had acute severe idiopathic thrombocytopenic purpura (ITP) presenting in late pregnancy. In both there was little or no response to corticosteroid therapy and elective Caesarean section and splenectomy were performed. The babies had marked thrombocytopenia which disappeared spontaneously. It is suggested that in acute ITP Caesarean section is indicated on paediatric grounds and poses no untoward maternal risk when combined with splenectomy and platelet transfusion.