Journal of AdvancedMedical and Dental Sciences Research

Background: After anemia, thrombocytopenia is the second most common cause of blood problems in pregnancy. The present study was conducted to evaluate thrombocytopenia during pregnancy. Materials & Methods: 76 antenatal womenadmitted in the ward of obstetrics and gynecology with platelet count less than 1 lakh/cubic ccwere enrolled. The etiology of thrombocytopenia in pregnancy was recorded. Results: The agegroup 20-25 years comprised of 24, 25-30 years had 30, 30-35 years had 16 and >35 years had 6 cases. The difference was non-significant (P> 0.05). The gravida 1 was seen in 14, 2 in 26 and >2 in 36 cases. The mode of delivery was vaginal in 36 and cesarean in 40 cases. Blood pressure (mm Hg) <140/90 was seen in 45 and >140/90 in 31 cases. The difference was non-significant (P>0.05). The etiology of thrombocytopenia under non-obstetriccauses was dengue in 5 and DIC in 10 cases. In obstetric causes, the main reason was gestational thrombocytopenia in 16, pre-eclampsia in 21, eclampsia in 10, and acute fatty liver of pregnancy in 14 cases. Conclusion: Particularly in third-trimester hypertensive pregnant women, gestational thrombocytopenia (GT) is recognized as a primary cause of thrombocytopenia. For those women, careful monitoring both during and after pregnancy is advised.