Table 1: Various causes of thrombocytopenia, bicytopenia, and pancytopenia in the study group Causes Only Bicytopenia thrombocytopenia (thrombocytopenia + leukopenia anemia) Dengue 23 86 Malaria 37 49 Chronic liver disease 16 41 Hypersplenism 20 23 Septicemia 9 16 Gestational thrombocytopenia
, DIC 6 16 Immune thrombocytopenic purpura 13 0 Megaloblastic anemia 0 4 PLHA 0 6 Drug-induced thrombocytopenia 4 1 Leukemia 0 3 Aplastic anemia 0 0 Total 128 (31%) 245 (59.
As there is no diagnostic test, Gestational Thrombocytopenia is a disorder of exclusion.
Gestational Thrombocytopenia usually does not respond to steroid therapy but recover postpartum.
is a benign common disorder, is the numeric platelet deficiency seen most frequently in obstetrics.
The incidence of thrombocytopenia in pregnancy is 8% with gestational thrombocytopenia being the most leading cause accounting for almost 70% of all cases.
The cause of gestational thrombocytopenia is unclear although it might be increased plasma volume seen in pregnancy8.
The criteria to diagnose gestational thrombocytopenia
(GT) are normal platelet count before pregnancy, occurrence in late gestation, no fetal or neonatal thrombocytopenia and complete recovery with normal count following delivery.
(GT) is the most prevalent cause, and accounts for about 75% of cases of thrombocytopenia during pregnancy .
2) Gestational thrombocytopenia
is seen in 5-8% of all pregnancies and accounts for at least 75% of all cases of thrombocytopenia at term.