Wednesday, August 7, 2013

Immune thrombocytopenia - Mx

- Corticosteroids are first line treatment. 

- Spleenectomy should be avoided in pregnancy. 

- iv gamma-globulin may be used in resistant cases

 - Platelet transfusion for bleeding or to cover labour / surgery if platelet count 80 x 109/
L

- Spontaneous ante-partum haemorrhage is uncommon. 

- Treatment required if symptomatic (counts < 20x109/ L). 

- Regional anaesthesia safe if counts are stable and > 80x109/ L

- C/S for obstetric reasons only

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