A Prospective Study of Thrombocytopenia in all Trimesters of Pregnant Women in Baquba City in Iraq

Abstract

Background: In pregnancy there is decrease in platelet count mainly in late stage, which is normal physiological phenomena in third  trimester, thrombocytopenia is a second common hematological condition affecting pregnant women after anaemia, unless its severe, otherwise it require no treatment.

Objective: To estimate and evaluate the platelet count during different trimester of pregnancy, with presence or absence of thrombocytopenia.

Patients and Methods: Platelet count was performed on pregnant women   attending Al-Batool Teaching Hospital for Maternity and Paediatric in Baquba - Diyala, and  some private clinic and laboratories  in Baquba, during the period from March 2013 to November 2015 . Ninety pregnant women were included in the study groupand thirtyhealthy non pregnant women as control group. Platelets count were done for them using automated hematology auto-analysers ABX-Horiba Micros 60, and  comparison in platelets counts done between study group and control group and between different trimesters of pregnancy.

Results: Platelet count were lower  in pregnancy with range (57-399) in compared  with control group with range  (166-399), and its lower in third trimester mean(208.69) in compared with other trimesters (first and second with mean 262.96 , 261.56 respectively) and the differences were statistically significant p < 0.001.

Conclusion: In this study we find a mild thrombocytopenia during pregnancy especially in third trimester, but this  had no effect on mother, fetus and may not cause  bleeding complication of delivery, which need only monthly follow up.