Document Detail


Thrombocytopenia and disorders of platelet function in pregnancy.
MedLine Citation:
PMID:  22102267     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Pregnancy is associated with physiological and pathological changes in platelet numbers and function, which can be of clinical concern because of risks for maternal and fetal or neonatal bleeding. Thrombocytopenia in pregnancy is frequently encountered and may be due to increased platelet turnover and plasma dilution, immune-mediated mechanisms, or a complication of a more severe underlying pregnancy-related disorder such as preeclampsia. Inherited defects in platelet function and number may also manifest during pregnancy with the risk of bleeding dependent on the underlying problem. In some women, the diagnosis of thrombocytopenia will precede pregnancy but in others, the problem is first identified when routine pregnancy blood tests are performed. An accurate diagnosis and risk assessment in the antenatal period are essential for developing specific plans for any antenatal interventions and for management of delivery and the postpartum periods, and the neonate. Management of pregnant women with platelet disorders requires a multidisciplinary approach and close collaboration between the obstetric and hematology teams.
Authors:
Rezan A Kadir; Claire McLintock
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Publication Detail:
Type:  Journal Article     Date:  2011-11-18
Journal Detail:
Title:  Seminars in thrombosis and hemostasis     Volume:  37     ISSN:  1098-9064     ISO Abbreviation:  Semin. Thromb. Hemost.     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-11-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0431155     Medline TA:  Semin Thromb Hemost     Country:  United States    
Other Details:
Languages:  eng     Pagination:  640-52     Citation Subset:  IM    
Copyright Information:
© Thieme Medical Publishers.
Affiliation:
Haemophilia Centre & Thrombosis Unit, Department of Obstetrics and Gynecology, The Royal Free Hospital, London, United Kingdom.
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