Epidural anesthesia in thrombocytopenic pregnant: prost and cons? (Review of the literature)

Catedra Anesteziologie şi Reanimatologie nr. 1 “Valeriu Ghereg” Catedra Anesteziologie şi reanimatologie nr. 2 , FPMRegional anesthesia is a popular form of pain relief for the management of labor and delivery. Thrombocytopenia is considered a relative contraindication to the administration of regional anesthesia. Some authorities have recommended that an epidural anesthetic be withheld if the platelet count is <l00.000 mm³. We presented a review of the literature concerning the problem of regional anesthesia in thrombocytopenic parturient. There were analyzed eight large retrospective studies which included almost three hundred parturiente with thrombocytopenia and regional anesthesia performed, among them about 70 patient had platelet count