Transcription of Review Thrombocytopenia in pregnancy
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Review Thrombocytopenia in pregnancy
7/16/09 15:16 Page 177. The Obstetrician & Gynaecologist 2009;11:177 183 Review Review Thrombocytopenia in pregnancy Author Bethan Myers Key content: Thrombocytopenia occurs in 8 10% of all pregnancies. In pregnancy it is usually mild and benign. Rare causes can be associated with severe complications for mother and baby. Cases thought to be due to immune thrombocytopenic purpura or microangiopathic processes should be managed in a specialist centre. Learning objectives: To learn about the underlying causes. To be aware of the management of the more severe cases. To ensure appropriate referral of high-risk cases. Ethical issues: Clear prepregnancy counselling is important to enable women to make informed decisions regarding future pregnancies.
threshold for epidural anaesthesia:in most institutions a threshold of 80 is typical (based on British Committee for Standards in Haematology and anaesthetic guidelines) 8.An anaesthetic consultation in the latter part of pregnancy to discuss alternative analgesia for delivery is helpful. Management of delivery:neonatal considerations
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