Frequency of Thrombocytopenia in Pregnancy and Its Causes in Pregnant Women

Bakhtawar Akbar; Sadia Akbar; Sidra Kadir; Nazia Mumtaz; Aamir Ramzan; Kiran Aamir

Bakhtawar Akbar Consultant Hematologist, Lyari General Hospital Karachi
Sadia Akbar Lecturer, Pathology Department, Liaquat University of Medical & Health Sciences Jamshoro
Sidra Kadir Consultant Haematologist, Lecturer, Pathology Department, Liaquat University of Medical & Health Sciences Jamshoro.
Nazia Mumtaz Consultant Haematologist, Assistant Professor, Pathology Department, Bilawal Medical College for Boys, Liaquat University of Medical & Health Sciences Jamshoro.
Aamir Ramzan Assistant Professor, Pathology Department, Liaquat Institute of Medical & Health Sciences, Lumhs Thatta
Kiran Aamir Consultant Haematologist, Associate Professor, Pathology Department, Liaquat University of Medical & Health Sciences Jamshoro

Abstract

Objective: To determine the frequency of thrombocytopenia in pregnancy and its causes at tertiary care hospital. Settings Pathology department Diagnostic and Research laboratory LUMHS Jamshoro/Hyderabad.

Methodology: This Cross-Sectional study was conducted at Pathology department Diagnostic and Research laboratory LUMHS Jamshoro/Hyderabad. There were 242 pregnant women presenting at any gestational age were included in this research. Following a thorough clinical evaluation, every patient had a full blood count using the Sysmex XN1000. Performa was filled out with all the details about the thrombocytopenia and its cause.

Results: The average age of the women was 25.99±4.49 years. Frequency of thrombocytopenia in pregnant women was 9.09% (22/242). Out of 22 women with thrombocytopenia, gestational thrombocytopenia was the common cases that was observed in 72.7% (16/22) followed by preeclampsia 9.1% (2/22), HELLP syndrome 9.1% (2/22), and ITP was seen in 9.1% (2/22).

Conclusion: Thrombocytopenia during pregnancy increases the risk of complications for both the mother and the baby. Obstetricians, neonatologists, and primary care physicians must work together in a multidisciplinary fashion to manage pregnant women with platelet problems.