Can I have ac section with low platelets?

The generally accepted threshold for “safe” platelet count for labor and delivery is above 50,000/ul. This is based on expert consensus, with concern for possible C-section. There are reports of pregnant women delivering with lower platelet counts and no significant bleeding.

Can I have an epidural if my platelets are low?

Low platelet counts can lead to: Inability to have an epidural during labor due to a risk of epidural hematoma, in which abnormal blood collection in the spine can cause spinal cord damage.

Can low platelets cause problems in pregnancy?

If your platelet count drops below normal levels during pregnancy, it’s most likely that you have a common pregnancy condition called gestational thrombocytopenia. It affects about one pregnant woman in 10 and usually develops in mid to late pregnancy.

How does low platelet count affect delivery?

Severe thrombocytopenia increases a pregnant woman’s risk of heavy bleeding (hemorrhaging) during or after birth. It makes invasive medical procedures, like inserting an epidural or performing a Cesarean delivery, riskier.

What platelet count is too low for epidural?

Each hospital and/or anesthesiologist has their own comfort level on when an epidural can and cannot be used. For most, if it’s below 80,00 they will not do an epidural, others have more rigorous guidelines and platelet count will need to be above 100,000 for an epidural.

How do they treat low platelets during pregnancy?

If a woman with ITP becomes pregnant, her platelet count may drop in the third trimester, exacerbating existing symptoms. However, treatments such as intravenous immunoglobulin therapy (IVIG) or corticosteroids (such as prednisone) can be given to raise the platelet count to ensure a safe delivery.

What is the most common cause of low platelet count in pregnancy?

Gestational thrombocytopenia (defined as a mild thrombocytopenia, occurring during the 3 rd trimester with spontaneous resolution postpartum and no neonatal thrombocytopenia) is the most common cause of thrombocytopenia during pregnancy but a low platelet can also be associated with several diseases, either pregnancy …

How fast do platelets drop in pregnancy?

Women with this condition may develop thrombocytopenia, for the first time, in pregnancy and be misdiagnosed with ITP. Platelet counts may occasionally fall to levels as low as 10-20 × 109/L at term, typically with nadir value 1-3 days before delivery, but they rapidly improve after delivery.

How do you feel when platelets are low?

If you have a low platelet count, you may experience: red, purple, or brown bruises, which are called purpura. a rash with small red or purple dots called petechiae. nosebleeds.

When to have a C-section if your platelets are low?

If the low platelet count in pregnancy is due to HELLP syndrome, doctors may suggest a C-section in the third trimester, if the baby is more than 35 weeks old, to avoid further complications like placental abruption.

What happens if your platelet count is low during pregnancy?

You are said to have a low platelet count during pregnancy when the count goes below the prescribed standard. While you are pregnant, your body produces more plasma in blood. This is the liquid part of your blood. However, the platelet count stays the same resulting in low platelet count during pregnancy as they are diluted.

Can a baby with ITP be born with low platelets?

Only a very small percent of babies born to mothers with primary ITP have low platelets at birth; there are no reports that women with gestational thrombocytopenia deliver newborns with low platelet counts. Attempting to measure the platelet count of the fetus carries significant risk, so it is not advised.

Is it safe to take platelet growth factors during pregnancy?

Platelet growth factors or thrombopoietin (TPO) receptor agonists are not recommended during pregnancy because they have been shown to cross the placenta. It’s also recommended that women should wait up to a year after treatment with the intravenous infusion drug rituximab (Rituxan® and MabThera®) before becoming pregnant. 3