A Study on Thrombocytopenia in Pregnancy and Feto-Maternal Outcome in Tertiary Care Centre

Dr. Jakkula Raja Rajeswari, Dr. Vikas Devkare

Abstract: Thrombocytopenia, a blood platelet count below 150,000/mm?, is the second most common hematologic disorder during pregnancy after anemia, affecting 7?11% of pregnancies. This study examines the maternal and neonatal outcomes of thrombocytopenia cases in pregnancy, including its causes and management. The most frequent cause identified was gestational thrombocytopenia, followed by hypertensive disorders such as preeclampsia, eclampsia, and HELLP syndrome. A retrospective analysis of 120 cases was conducted at Government Medical College, Miraj, Maharashtra. Results showed mild thrombocytopenia in 48% of cases, moderate in 36%, and severe in 16%. Vaginal deliveries occurred in 62% of mild cases and 58% of severe cases, while cesarean sections were more common in moderate and severe cases. Maternal complications included disseminated intravascular coagulation and acute kidney injury, and neonatal outcomes varied, with 37% requiring NICU admission. The study emphasizes the importance of timely diagnosis and multidisciplinary management to mitigate risks associated with thrombocytopenia during pregnancy.

Keywords: Thrombocytopenia in pregnancy, maternal outcomes, neonatal outcomes, gestational thrombocytopenia, hypertensive disorders in pregnancy