Immune thrombocytopenic purpura and percutaneous umbilical blood sampling: an open question

Sara De Carolis, Marco De Santis, Sergio Ferrazzani, Giuseppe Noia, Maria Pia De Carolis, Alessandro Caruso, C Trivellini, C Mastromarino

Risultato della ricerca: Contributo in rivistaArticolo in rivista

13 Citazioni (Scopus)

Abstract

We performed a retrospective study of 26 pregnancies with chronic immune thrombocytopenic purpura (ITP) or incidental ITP. Thirteen pregnancies were followed without the use of percutaneous umbilical blood sampling (PUBS) and 13 were followed sampling PUBS at 36-40 weeks of gestation. The overall prevalence of neonatal thrombocytopenia was 27%: 50% in chronic ITP, 12.5% in incidental ITP. Symptomatic thrombocytopenia occurred only in infants born to mothers with chronic ITP. Without the use of PUBS, 2 symptomatic thrombocytopenic fetuses were vaginally delivered and there was a high rate of cesarean sections in normal fetuses. Owing to PUBS, a decrease of the cesarean section rate in normal fetuses was observed, but one fetal bradycardia (due to the technique) was encountered. PUBS resulted helpful to indicate the best route of delivery and reducing unnecessary cesarean sections in women with chronic ITP, but in presence of incidental ITP the use of PUBS remains an open question.
Lingua originaleEnglish
pagine (da-a)154-160
Numero di pagine7
RivistaFetal Diagnosis and Therapy
Volume8
Stato di pubblicazionePubblicato - 1993

Keywords

  • Adult
  • Bradycardia
  • Chronic Disease
  • Cordocentesis
  • Delivery, Obstetric
  • Evaluation Studies as Topic
  • Female
  • Fetal Blood
  • Fetal Diseases
  • Humans
  • Infant, Newborn
  • Platelet Count
  • Pregnancy
  • Pregnancy Complications, Hematologic
  • Pregnancy Trimester, Third
  • Purpura, Thrombocytopenic, Idiopathic
  • Regression Analysis
  • Retrospective Studies
  • Thrombocytopenia

Fingerprint Entra nei temi di ricerca di 'Immune thrombocytopenic purpura and percutaneous umbilical blood sampling: an open question'. Insieme formano una fingerprint unica.

Cita questo