Evaluation of Incidenece in Pregnancy and Related Factor

Background and Thrombocytopenia is the most common disorder in pregnancy after anemia, and occurs in 10 percent of pregnancies. Thrombocytopenia in pregnant women may be associated with maternal and neonatal morbidity. Because of the diagnosis of thrombocytopenia is effective in patient's treatment and according to its complications in pregnancy, this study was performed to determine the incidence, causes and complications of thrombocytopenia in pregnancy. In this prospective study, all pregnant women with gestational age of 24< weeks and referred for termination of pregnancy to shahid yahyanejad and Ayatollah Rohani hospitals in Babol, selected and women who had the tests in microliters platelets less than 150,000 per microliters were enrolled. Cause of thrombocytopenia, method of delivery, maternal and neonatal complications in these patients collected were recorded. Platelet count less than 100,000 in microliters as severe thrombocytopenia was considered. Then enter the data and statistical software SPSS 18 cases were analyzed. During the study period, 4589 pregnancies were examined, of which thrombocytopenia was reported in 239 pregnancies and the incidence of thrombocytopenia in pregnancy was 5.2%. Cause of thrombocytopenia were in 222 patients (%92.9) thrombocytopenia of pregnancy, in 11 patients (% 4.6) ITP, 5 patients (half percent) of preeclampsia and one patient (% 0.4) had HELLP syndrome. 6 pregnancies (2.5 %) was associated with IUFD. maternal complications occurred only in one patients with ITP, that It was bleeding during and after of delivery. No neonatal complications occurred in newborns of women with thrombocytopenia. The results of this study, gestational thrombocytopenia, the most common cause of thrombocytopenia in pregnancy and are considering this cause complications for the patient and the fetus did not have, but these diagnose should be differenthied from other diagnosis such as Hellp syndrome or preeclampsia that these need the urgency termination of pregnancy for prevension of complication.