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Immune Thrombocytopenic Purpura in Pregnancy.

Publication ,  Journal Article
Baucom, AM; Kuller, JA; Dotters-Katz, S
Published in: Obstet Gynecol Surv
August 2019

IMPORTANCE: Immune thrombocytopenia purpura (ITP), an autoimmune disease characterized by destruction of platelets, is a hematological disorder that can present in both pregnant and nonpregnant patients. Although thrombocytopenia in pregnancy can be caused by more common pathologies such as gestational thrombocytopenia and preeclampsia, ITP can present initially during pregnancy, further complicating diagnosis. Management must be considerate of both the pregnancy itself and the fetus. OBJECTIVE: Review the diagnosis, treatment, and management of ITP in pregnancy based on current recommendations. EVIDENCE ACQUISITION: Review articles, original research, and case studies were utilized. RESULTS: Throughout pregnancy, patients are screened for a variety of conditions or disorders of pregnancy. Thrombocytopenia is a common pathology of pregnancy, but ITP is a rare condition that a provider needs to be aware of. After ruling out secondary causes of thrombocytopenia or more common causes such as gestational thrombocytopenia or preeclampsia, ITP should be considered. After diagnosis, treatment options should be discussed and initiated to provide safety for both the mother and fetus. CONCLUSIONS: After reading this article, the reader will understand the current recommendations regarding the diagnosis, treatment, and management of ITP in pregnancy. RELEVANCE: The practitioner will be comfortable treating this condition during pregnancy.

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Published In

Obstet Gynecol Surv

DOI

EISSN

1533-9866

Publication Date

August 2019

Volume

74

Issue

8

Start / End Page

490 / 496

Location

United States

Related Subject Headings

  • Purpura, Thrombocytopenic, Idiopathic
  • Prenatal Diagnosis
  • Pregnancy Complications, Hematologic
  • Pregnancy
  • Practice Guidelines as Topic
  • Obstetrics & Reproductive Medicine
  • Humans
  • Female
  • 4204 Midwifery
  • 3215 Reproductive medicine
 

Citation

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Baucom, A. M., Kuller, J. A., & Dotters-Katz, S. (2019). Immune Thrombocytopenic Purpura in Pregnancy. Obstet Gynecol Surv, 74(8), 490–496. https://doi.org/10.1097/OGX.0000000000000697
Baucom, Amanda M., Jeffrey A. Kuller, and Sarah Dotters-Katz. “Immune Thrombocytopenic Purpura in Pregnancy.Obstet Gynecol Surv 74, no. 8 (August 2019): 490–96. https://doi.org/10.1097/OGX.0000000000000697.
Baucom AM, Kuller JA, Dotters-Katz S. Immune Thrombocytopenic Purpura in Pregnancy. Obstet Gynecol Surv. 2019 Aug;74(8):490–6.
Baucom, Amanda M., et al. “Immune Thrombocytopenic Purpura in Pregnancy.Obstet Gynecol Surv, vol. 74, no. 8, Aug. 2019, pp. 490–96. Pubmed, doi:10.1097/OGX.0000000000000697.
Baucom AM, Kuller JA, Dotters-Katz S. Immune Thrombocytopenic Purpura in Pregnancy. Obstet Gynecol Surv. 2019 Aug;74(8):490–496.

Published In

Obstet Gynecol Surv

DOI

EISSN

1533-9866

Publication Date

August 2019

Volume

74

Issue

8

Start / End Page

490 / 496

Location

United States

Related Subject Headings

  • Purpura, Thrombocytopenic, Idiopathic
  • Prenatal Diagnosis
  • Pregnancy Complications, Hematologic
  • Pregnancy
  • Practice Guidelines as Topic
  • Obstetrics & Reproductive Medicine
  • Humans
  • Female
  • 4204 Midwifery
  • 3215 Reproductive medicine