Analytical Study of Thrombocytopenia in Pregnant Women in Tishreen University Hospital (Causes, Complications, Management)
|International Journal of Medical Science|
|© 2022 by SSRG - IJMS Journal|
|Volume 9 Issue 1|
|Year of Publication : 2022|
|Authors : Alaa Marouf, Firas Hussein, Louai Hasan|
How to Cite?
Alaa Marouf, Firas Hussein, Louai Hasan, "Analytical Study of Thrombocytopenia in Pregnant Women in Tishreen University Hospital (Causes, Complications, Management)," SSRG International Journal of Medical Science, vol. 9, no. 1, pp. 9-13, 2022. Crossref, https://doi.org/10.14445/23939117/IJMS-V9I1P102
The aims of this study are to determine the prevalence of thrombocytopenia during pregnancy, in addition to evaluating the etiologies and the outcomes of thrombocytopenia.
A prospective cohort study was conducted on 894 pregnant women. They are selected from the Department of Obstetrics and Gynecology, Tishreen University Hospital in Lattakia-Syria, between November 2020 and November 2021. Blood samples were taken, and a complete blood count CBC was performed to detect the presence of thrombocytopenia.
Results of the 894 women enrolled in the study, 75(8.4%) had thrombocytopenia. Benign gestational thrombocytopenia represented the most frequent cause of thrombocytopenia (80%), followed by immune thrombocytopenia (10.7%) and pre-eclampsia (4%). Other causes were rare, which consisted of disseminated intravascular coagulation (2.7%), Antiphospholipid syndrome (1.3%), and multiple myeloma (1.3%). The most frequent complications of thrombocytopenia were antepartum hemorrhage (8%), premature delivery (8%), and the rate of complications was the least in women with benign gestational thrombocytopenia than other etiologies. A cut of 80.000 of platelets yielded a sensitivity of 90% and specificity of 87.3% in predicting the final outcome, in which the rate of complications was higher in women with platelet count <80.000.
Thrombocytopenia, Pregnancy, Prevalence, Complications.
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