A DESCRIPTIVE CROSS-SECTIONAL STUDYON THE CAUSES AND FREQUENCY OF THROMBOCYTOPENIA IN PREGNANCY

Purpose: To determine thrombocytopenia causes in pregnancy with maternal and neonatal outcomes. Study Design: A descriptive cross-sectional study. Place and Duration: The study was held at the Obstetrics and Gynecology Department of Mayo Hospital, Lahore for the period of one year from July 2016 to July 2017. Method: Eighty-seven pregnant women were included in the study. Blood samples were taken and analyzed for whole blood count, LFT, PT and APTT. Findings: The mean age of the women was 26.91 ± 5.28. (16.1%), preeclampsia (16.1%), HELLP (12.0%), DIC (3.4%) and thrombocytopenic purpura (3.3%) syndrome followed by pregnancy thrombocytopenia (57.5%). maternal outcome was 16.0% of prenatal bleeding cases, postpartum hemorrhage 41.3% and maternal mortality 8.0%. Newborn results showed that 77.0% reached full swing and 22.9% were premature. In general, 77.1% of newborns were live, 16.0% were RIA and 6.9% were IUGG. Conclusion: Thrombocytopenia is associated with maternal and neonatal morbidity and mortality in pregnancy. For this reason, we recommend that you carefully monitor these thrombocytopenic mothers and their infants to ensure timely etiology and appropriate intervention. Key words: Gestational thrombocytopenia, thrombocytopenia, HELLP syndrome, eclampsia