Clinical Analysis of 50 Pregnant Women Complicated with Thrombocytopenia

Abstract：Objective:To explore the etiopathogenesis and perinatal management in pregnant women complicated with thrombocytopenia.Methods:The clinical data of 50 pregnant women complicated with thrombocytopenia in our hospital from September 2006 to October 2012 were reviewed.Results:Thrombocytopenia was mainly caused by pregnancy-associated with gestational thrombocytopenia(GT) in 16 cases (32%),autoimmune thrombocytopenia(AITP) in 6 cases(12%), thrombotic microangiopathies thrombocytopenia including pregnancy induced hypertension(PIH) in 12 cases (24%),HELLP syndrome in 8 cases(16%),acute fatty liver of pregnancy in 8 cases(16%).Among the 50 pregnant women,21 cases chose vaginal delivery and 29 cases chose cesarean section.There were 12 cases with postpartum hemorrhage.Conclusion:The reasons caused thrombocytopenia during pregnancy are diverse.Pregnancy-associated with gestational thrombocytopenia is the most prevalent cause in pregnant women complicated with thrombocytopenia.On the basis of the treatment of the primary diseases,glucocorticoid, immunoglobulin and platelet transfusion are effective to treat the disease.The mode of delivery is decided by obstetrical indication.