Author/Authors :
Pafumi, Carlo Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele - Santo Bambino Hospital - Istituto di Patologia Ostetrica e Ginecologica, Italy , Valenti, Oriana Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele - Santo Bambino Hospital - Istituto di Patologia Ostetrica e Ginecologica, Italy , Giuffrida, Lorena Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele - Santo Bambino Hospital - Istituto di Patologia Ostetrica e Ginecologica, Italy , Colletta, Giovanna Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele - U O C Talassemia, Italy , D’agati, Alfio Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele - Santo Bambino Hospital - Istituto di Patologia Ostetrica e Ginecologica, Italy , Leanza, Vito Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele - Santo Bambino Hospital - Istituto di Patologia Ostetrica e Ginecologica, Italy , Carbonaro, Antonio Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele - Santo Bambino Hospital - Istituto di Patologia Ostetrica e Ginecologica, Italy , Palumbo, Marco Antonio Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele - Santo Bambino Hospital - Istituto di Patologia Ostetrica e Ginecologica, Italy , Genovese, Fortunato Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele - Santo Bambino Hospital - Istituto di Patologia Ostetrica e Ginecologica, Italy
Abstract :
Purpose: The aim of this study was to retrospectively evaluate maternal platelet count fluctuation during pregnancy and puerperium and its correlation with the newborn’s platelet levels. Material and Methods: A group of 36 patients who have been referred to a haematology-clinic for gestational thrombocytopenia (GT) and who delivered at the same hospital during a period of 4 years, from January 2006 to December 2009 were included in the study. Mothers and their related foetuses- newborns were evaluated retrospectively for symptoms and/or signs of external and internal haemorrhage throughout pregnancy and early puerperium, even in relationship with mode of delivery (caesarean section versus spontaneous vaginal delivery). Results: All observed cases of GT have an uncomplicated course with no related perinatal and maternal morbidity even in patients with initial platelet count 75.000/ml independently from the route of delivery. Conclusion: In case of gestational thrombocytopenia a complete normalization of maternal platelet count should be expected during the postpartum period, even if a diagnosis of a concomitant incidental neonatal thrombocytopenia cannot be excluded. No intervention, such as a foetal platelet count or caesarean section, is necessary.
