Background:
Immune thrombocytopenic purpura (ITP) can complicate pregnancy, which requires optimal mtr-r-fTtsu- iplii ta-ry management to prevent maternal and perinatal complications. Current recommendations are for vaginal delivery unless obstetrically indicated. We report a case series of medically and obstetrically complicated ITP referrals from multiple geographic locations in Sri Lanka, where the best option was a combined splenectomy and operative delivery.
Results:
Between January 2003 to June 2005, 5 pregnant women with thrombocytopaenia were referred to a single tertiary care unit. Age range: 28 – 35 years; POA ranging from 29 40 -weeks. Three were primigravidae. One was in her 5 ‘ pregnancy with no living children and another in her 8* pregnancy with 2 living children. The latter two had severe PIH previously with fetal loss; the P5 complicated by ileofemoral DVT and the P8 diagnosed to …