Those were followed by purplish bruises that seemed more excessive than her natural klutziness would warrant. Stein’s symptoms had emerged in February 2006, when she began having frequent nosebleeds. Alone late at night after her husband had gone home to be with their two young children, she worried about how they would cope if she died. If you have any of these symptoms, call your maternity unit straight away.Sheryl Stein lay in a Northern Virginia hospital, terrified that whatever was attacking the platelets in her blood might kill her before doctors figured out what was wrong. sudden increase in swelling of the feet, ankles, hands and face.pre-eclampsia symptoms, such as high blood pressure and protein in your urine.This could be a rare complication of pre-eclampsia in late pregnancy, called HELLP syndrome, which also causes the following symptoms: Occasionally, a very low platelet count could be a sign of a problem with your pregnancy. You may also have an appointment with an anaesthetist to discuss pain relief options, and whether an epidural or spinal anaesthetic is safe for you. Giving birth on a labour ward will mean that your medical team can act swiftly to keep you and your baby safe. This is because both severe gestational thrombocytopenia and ITP can raise the risk of a postpartum haemorrhage. This will increase the platelet levels in your blood.ĭepending on the severity of your low platelet count and the cause, your doctor may advise you to give birth on a labour ward. Or your doctor may recommend that you have a transfusion of platelets or plasma. You may have to take steroid tablets, or have an infusion of a blood protein called globulin (IVIg). What treatment your doctor recommends will depend on the underlying cause for your low platelet count. If you develop moderate to severe gestational thrombocytopenia during pregnancy, your doctor will recommend having treatment to stabilise the condition and to keep your baby safe. If you have a diagnosed underlying condition that causes low platelet count, your doctor will plan your antenatal and postnatal care with this in mind. Some medicines, such as the blood-thinning drug heparin, can also affect your platelet count. Symptoms are bruising, bleeding gums and purple spots on the skin, caused by spontaneous bleeding. Rarely, some mums-to-be already have a non-pregnancy-related type of thrombocytopenia, called immune thrombocytopenic purpura (ITP). Your doctor will ask whether you have a family history of certain conditions that may cause low platelets and take more blood tests to look for the cause. This is when your immune system attacks healthy cells. If you have moderate or severe thrombocytopenia, it’s more likely to be caused by a condition you already have, such as lupus. If your count is below 50 million per ml of blood, your doctor will class it as severe thrombocytopenia, although this is very rare. Your doctor will class this as moderate gestational thrombocytopenia. This happens to about one in 100 pregnant women. You should be offered extra tests if your platelet count falls below 100 million per ml of blood. The result is that you have fewer, but younger and larger, platelets in your blood. In pregnancy, this process is speeded up.
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