THROMBOCYTOPENIA AND ITS SIGNIFICANCE IN TOXEMIA OF PREGNANCY.

Main Article Content

Dr.T. Praveen
Dr. Nelapati Swetha Vinela
Dr. Kirankumar P

Keywords

Pregnancy Induced Hypertension (PIH), Preeclampsia, Eclampsia, Platelet count, Hematological marker

Abstract

Toxemia of pregnancy is a scantily understood condition of human pregnancy, which can influence multiple organs and is a foremost reason of maternal mortality worldwide. There is also indication that preeclampsia is usually related with placental hypoxia and endothelial dysfunction. Many researchers gave their efforts to recognize the exclusive screening test that would predict the risk of developing preeclampsia before the typical symptoms appear. There are number of studies which suggest platelet may play a chief role in the etiopathogenesis of preeclampsia. The present study done in 170 pregnant mothers divided into four groups.40 cases of mild preeclampsia, 40 cases of severe preeclampsia,40 cases of Eclampsia and 50 cases of control (Normotensive) pregnant women admitted in Department of Obs and Gynae, Rama Medical College, hospital and research centre. There was significant difference between platelet counts of eclampsia (<0.0001), severe preeclampsia (0.0002), mild preeclampsia(P=0.0004) when compared to control group. Platelet count may be considered as an early, economical and quick method to estimate the severity of PIH cases. It can also be a useful screening test for early recognition and to assess the prognosis of the disease and outcome in pregnant women.

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References

1. ACOG practice Bulletin. 2002 Diagnosis and managemaent of preeclampsia and Eclampsia.obsetgynaecol;99:159-167.
2. Fernandoarias,: Practical guide to high risk pregnancy and delivery, Mosby, Harcourtasia private ltd., 2000;2nd edition:184-185.
3. Gleicher N. Why much of the pathophysiology of preeclampsia and eclampsia must be of an autoimmune nature. Am J Obstet Gynecol. 2009; 196(1): 501 – 507.
4. Fernando A, Daftary SN, Bhide AG. Hypertensive disorders in pregnancy. Practical guide to high risk pregnancy and delivery. New Delhi: Elsevier; 2008;3rd ed: p. 411.
5. Mise H, Sagaw N, Matsumoto T, Yura S, Nanno H. Augmented placental production of leptin in preeclampsia possible involved of placental hypoxia. J Clin Endocrinol Metab. 1998; 83(9): 3225 – 29.
6. Bonnar J, Mcnicol GP, Douglas AS. Mean platelet and red cell volume measurement to estimate the severity of hypertension in pregnancy. Br. M Journal. 1971; 2:12.
7. Shehata N, Burrows R, Kelton JG. Gestational thrombocytopenia. Clin Obstet Gynecol. 1999; 42: 327 – 34.
8. Kulkarni RD, Sutaria UD. Platelet counts in toxaemia of pregnancy. Ind J Obstet Gynecol. 1983;33: 321-325.
9. Redman CWG, Bonnar J, Beilin L. Early platelet consumption in preeclampsia. BMJ. 1978; 1: 467 – 490.
10. Jaremo P, Lindahl TL, Lennmarken C, Forsgen H. The use of platelet density and volume measurements to estimate the severity of pre-eclampsia. Eur J Clin Invest. 2000; 30; 1113-1118.
11. Srivastava M; Bali S; Pandey J; Nayar V; Talib VH; Pregnancy induced hypertension and antithrombin III. Indian J Pathol Microbiol 1995 Jul;38(3):257-60.
12. Giles C: The platelet counts and mean platelet volume. Br J Haematol. 1981,48: 31-37.
13. Agarwal S, Asha Buradkar. Coagulation studies in toxaemias of pregnancy. Journal of Obstetrics and Gynaecology of India 1978; 992-996.
14. Dube B, Bhattacharya S, Dube RK. Blood coagulation profile in Indian patients with pre-eclampsia and eclampsia. Br J Obstet Gynecol. 1975; 82:35-39.
15. Vrunda JK, Saila S. Lowered platelet count. A prognostic index in pregnancy induced hypertension. J Obstet Gynaecol Ind. 2004; 54 (3):235-236.
16. Mohapatra S, Pradhan BB, Satpathy UK, Mohanty A, Pattnaik JR: Platelet estimation: its prognostic value in pregnancy induced hypertension. Ind J Physiol Pharmacol. 2007, 51 (2): 160-164.
17. Missfelderlobos H, Teran e, Leess C, Albaiges C, Nicolaides KH, Platelet changes and subsequent development of pre eclampsiaand foetal growth restriction in women with abnormal uterine artery Doppler screening. Ultrasound Obstet Gynecol.2002; 19: 443-8
18. Parnas M, Sheiner E, Shoham-Vardi I, Brustein E, Yrmiahu T, levi I, Holeberg G, Yerushalmi R. Moderate to severe thrombocytopenia during pregnancy. Eur J Obstet Gynecol Reprod Biol. 2006; 128:163-8