Feto-Maternal Outcomes Among Pregnant Women with Thrombocytopenia Presenting to Emergency Obstetric Care (Code-T0263)
Keywords:
Thrombocytopenia, Pregnancy, Emergency obstetric care, Maternal outcomes, Fetal outcomes, Neonatal complications.Synopsis
Introduction: Thrombocytopenia during pregnancy, defined as a platelet count below 150,000/μL, is a common hematological disorder that can lead to serious maternal and fetal complications. Its management in the emergency obstetric setting requires careful monitoring and intervention. This study aims to evaluate the feto-maternal outcomes in pregnant women with thrombocytopenia presenting to emergency obstetric care.
Aims and Objectives:
Primary:
To evaluate the feto maternal outcome of thrombo cytopenia in pregnancy presenting in labor room.
Secondary:
Prevalence of thrombocytopenia in term pregnancy amongst eastern part of northern india
Methods: A retrospective study was conducted over a two-year period at a tertiary hospital. Data were collected from 150 pregnant women diagnosed with thrombocytopenia who presented to the emergency obstetric care department. Maternal platelet counts, clinical presentation, management strategies, and pregnancy outcomes, including gestational age at delivery, mode of delivery, complications, and neonatal outcomes, were recorded.
Results: Among the 150 women, 38% had mild thrombocytopenia, 42% had moderate thrombocytopenia, and 20% had severe thrombocytopenia. Maternal complications included preeclampsia (12%), postpartum hemorrhage (7%), and eclampsia (4%). Fetal complications included preterm birth (15%), low birth weight (20%), and neonatal intensive care unit (NICU) admission (18%). The overall maternal mortality rate was low (2%), while neonatal mortality was recorded at 4%.
Conclusion: Thrombocytopenia in pregnancy is associated with significant maternal and fetal risks. Early diagnosis and appropriate management can improve outcomes, emphasizing the importance of vigilant monitoring and individualized care in emergency obstetric settings.
Keywords: Thrombocytopenia, Pregnancy, Emergency obstetric care, Maternal outcomes, Fetal outcomes, Neonatal complications.
