Feto-Maternal Outcomes among Pregnant Women with Thrombocytopenia Presenting in Emergency Obstetric Care (Code-T0247)

Background: Thrombocytopenia, characterized by a low platelet count, is a common hematological condition in pregnancy and is associated with various complications. The presence of thrombocytopenia in pregnant women can affect both maternal and fetal health, potentially leading to adverse outcomes such as hemorrhage, preeclampsia, and intrauterine growth restriction. This study aims to assess the feto-maternal outcomes in pregnant women with thrombocytopenia presenting for emergency obstetric care.

Aim and Objective:

Primary- To Evaluate The Feto Maternal Outcome of Fthrombo Cytopenia in Pregnancy Presenting In Labor Room.

Secondary – Prevalence of Thrombocytopenia In Term Pregnancy Among steas tern part of northern india.

Methods: A prospective observational study was conducted on pregnant women with thrombocytopenia who presented to the emergency obstetric care unit at [Hospital Name] over a one-year period. The study recorded maternal platelet levels, pregnancy complications, mode of delivery, and neonatal outcomes. Data were analyzed using descriptive and inferential statistics.

Results: Among the 80 pregnant women with thrombocytopenia, 40% had mild thrombocytopenia (platelet count >100,000/µL), 35% had moderate thrombocytopenia (platelet count 50,000-100,000/µL), and 25% had severe thrombocytopenia (platelet count <50,000/µL). Maternal complications included preeclampsia (20%), postpartum hemorrhage (15%), and abruptio placentae (5%). A significant association was found between low platelet counts and increased risk of hemorrhage. Cesarean delivery was required in 45% of cases, and 30% of neonates were admitted to the NICU. Neonatal complications included low birth weight (25%), prematurity (15%), and jaundice (10%).

Conclusion: Thrombocytopenia during pregnancy significantly impacts both maternal and fetal outcomes, with lower platelet counts being linked to increased risks of hemorrhagic complications, preeclampsia, and preterm birth. Early diagnosis and appropriate management are essential to improving both maternal and neonatal outcomes.

Keywords: Thrombocytopenia, Pregnancy complications, Feto-maternal outcomes, Postpartum hemorrhage, Cesarean delivery, Neonatal outcomes.