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Gestational (incidental) thrombocytopenia is a condition that commonly affects pregnant women.Thrombocytopenia is defined as the drop in platelet count from the normal range of 150,000–400,000/μL to a count lower than 150,000/μL. [1]
Generally, in mothers with preeclampsia, labor is induced once the gestational age is >37 weeks. [13] In patients with preeclampsia with severe features or eclampsia, labor is induced once the gestational age is >34 weeks. [13] In patients with gestational hypertension and no other signs of severe disease, labor is generally induced at term. [13]
Thrombocytopenia affects a few newborns, and its prevalence in neonatal intensive care units is high. Normally, it is mild and resolves without consequences. Most cases affect preterm birth infants and result from placental insufficiency and/or fetal hypoxia.
Another bleeding risk factor is thrombocytopenia, or decreased platelet levels, which is the most common hematological change associated with pregnancy induced hypertension. If platelet counts drop less than 100,000 per microliter the patient will be at a severe risk for inability to clot during and after delivery.
This can in turn lead to complications like early-onset hypertensive disorders of pregnancy, pre-eclampsia and small for gestational age infants (SGA). [7] Among other causes of hypercoagulability, Antiphospholipid syndrome has been associated with adverse pregnancy outcomes including recurrent miscarriage . [ 8 ]
[1] [2] [86] The incidence of pre-eclampsia has risen in the U.S. since the 1990s, possibly as a result of increased prevalence of predisposing disorders, such as chronic hypertension, diabetes, and obesity. [15] Pre-eclampsia is one of the leading causes of maternal and perinatal morbidity and mortality worldwide. [1]
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Thrombocytes - as thrombocytopenia is one of the complications of HDN, the thrombocyte count should be checked. [9] Bilirubin should be tested from cord blood. [5] Ferritin - because most infants affected by HDN have iron overload, ferritin levels must be measured before giving the infant any additional iron. [11]