IMMUNE THROMBOCYTOPAENIC PURPURA IN PREGNANCY: A CASE OF NEAR MISS MORTALITY IN A NIGERIAN.
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Date
2013-04
Journal Title
Journal ISSN
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Publisher
SOGON
Abstract
Thrombocytopenia occurs in pregnancy like in the non-pregnant state and can be due to immune
thrombocytopaenic purpura (ITP). The hyperoestrogenic state of pregnancy has been identified as
a precipitating factor. This is a case report of a thirty year old Nigerian lady, who at a gestational age
of 26 weeks developed ITP as a near miss mortality. Although, most literatures reported that the
perinatal outcome is usually favourable in this condition, we report a case managed in our facility
that had intrauterine death and non- remission until delivery; despite corticosteroid therapy and
transfusion of eleven (11) units of blood. This report is relevant in a developing world where a rare
condition almost caused a maternal death in spite of the high maternal mortality rates from other
conditions. Baseline full blood count is advocated at booking to identify and monitor rare
haematological disorders like this in pregnancy.
Description
Keywords
Immune thrombocytopaenic purpura,, Nigeria,, perinatal mortality,, Pregnancy
Citation
Adesina, K.T, Fawole, A.A, Durotoye, I.A, Aboyeji, A.P, Musa, O.A, Olarinoye, A.O, Eno, E.E, Adepoju, A.M, (2013): Immune Thrombocytopaenic Purpura In Pregnancy: A Case of Near Miss Mortality in a Nigerian. Tropical Journal of Obstetrics and Gynaecology30(1): 126-130. Official Publication of the Society of Gynaecology and Obstetrics of Nigeria (SOGON).