IDIOPATHIC THROMBOCYTOPENIC PURPURA IN PREGNANCY-A CASE REPORT

Thrombocytopenia in pregnancy has many causes, including Gestatational Thrombocytopenia, viral and bacterial infections, and preeclampsia complicated by haemolysis, elevated liver enzymes and low platelet (HELLP syndrome).The great concern for IdiopathicThrombocytopenic Purpura (ITP) during pregnancy is the risk of thrombocytopenia in newborn infants. A 24 year G2P1L1 previous lower Caesarean section presented to us with history of gum bleeding and profuse bleeding per vagina. She was diagnosed of ITP in her previous pregnancy and was treated symptomatically. In her interconception period she was not on any drug. In present pregnancy she was started on steroid and transfused with 42 units of blood components .She delivered a healthy boy baby weighed 2.250 kg by lower segment caesarean section with sterilization. Her postoperative period was stormy. She was discharged on the 21st post- operative day. The aim of this case report to reveal pregnancy with ITP and its clinical presentation, investigation and management with review of few relevant literatures