Deruddre S, Peyrouset O, Benhamou D. Prise en charge anesthésique de 52 accouchements chez des parturientes atteintes de purpura thrombopénique idiopathique.
ACTA ACUST UNITED AC 2007;
36:384-8. [PMID:
17289294 DOI:
10.1016/j.jgyn.2006.12.023]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2005] [Revised: 04/21/2006] [Accepted: 12/28/2006] [Indexed: 11/30/2022]
Abstract
OBJECTIVES
To study the anesthetic management of parturients with idiopathic thrombocytopenic purpura (ITP) which is a frequent cause of thrombocytopenia in pregnant women and may lead to a dilemma since a low platelet count usually dictates not to perform epidural anesthesia.
MATERIALS AND METHODS
We report a retrospective study assessing the anesthetic management of 39 parturients with ITP corresponding to 52 deliveries found in a database of 10,203 deliveries over a 52-month-period.
RESULTS
On the day of delivery, 32 parturients (61.5%) had a platelet count less than 100,000/mm(3) and 19 (36.5%) received a neuraxial block. Six parturients with a platelet count less than 100,000 mm(3) (19%) received neuraxial analgesia. The lowest platelet count among women who received epidural analgesia was 88,000/mm(3). No anesthetic or neurological complication occurred.
CONCLUSION
Regional anesthesia should not necessary be withheld in ITP when the platelet count is less than 100,000/mm(3).
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