A Comparison of Maternal and Fetal Outcomes of Pregnancies Complicated by Moderate to Severe Thrombocytopenia Caused by Gestational Thrombocytopenia Preeclampsia / HELLP Syndrome and Immune Thrombocytopenic Purpura
OBJECTIVE: Aim of this study was to compare obstetric risk factors and complications, and outcomes of pregnancies associated with moderate to severe thrombocytopenia caused by gestational thrombocytopenia (GT), preeclampsia/HELLP syndrome, and immune thrombocytopenic purpura (ITP). STUDY DESIGN: The...
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Format: | Article |
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Medical Network
2008-12-01
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Series: | Gynecology Obstetrics & Reproductive Medicine |
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Online Access: | http://gorm.com.tr/index.php/GORM/article/view/462 |
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author | Suna Özdemir Hüseyin Görkemli Ali Acar Çetin Çelik Erkan Kayıkçıoğlu |
author_facet | Suna Özdemir Hüseyin Görkemli Ali Acar Çetin Çelik Erkan Kayıkçıoğlu |
author_sort | Suna Özdemir |
collection | DOAJ |
description | OBJECTIVE: Aim of this study was to compare obstetric risk factors and complications, and outcomes of pregnancies associated with moderate to severe thrombocytopenia caused by gestational thrombocytopenia (GT), preeclampsia/HELLP syndrome, and immune thrombocytopenic purpura (ITP).
STUDY DESIGN: The study was composed of 135 women with a platelet count below 100.000/mm3. The characteristics and clinical details of all women and neonatal were recorded during their hospital course.
RESULTS: The ratio of severe thrombocytopenia was observed significantly lower in GT group compared with preeclampsia / HELLP syndrome and ITP groups. Higher rates of oligohydroamnios, IUGR, and placental abruption were found among patients in preeclampsia+HELLP syndrome group. The rates of Apgar scores (<7) at 1 and 5 min, pH values (<7,2), and amniotic fluid with meconium were higher in
preeclampsia / HELLP syndrome group. Neonatal thrombocytopenia was recorded in a total of 5 infants.
CONCLUSION: The thrombocytopenia with preeclampsia/HELLP syndrome had less favorable obstetric and fetal outcomes. |
first_indexed | 2024-04-10T14:01:26Z |
format | Article |
id | doaj.art-c49bb2e069d74f2b8b04a242676f9c90 |
institution | Directory Open Access Journal |
issn | 1300-4751 |
language | English |
last_indexed | 2024-04-10T14:01:26Z |
publishDate | 2008-12-01 |
publisher | Medical Network |
record_format | Article |
series | Gynecology Obstetrics & Reproductive Medicine |
spelling | doaj.art-c49bb2e069d74f2b8b04a242676f9c902023-02-15T16:10:15ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512008-12-01143393A Comparison of Maternal and Fetal Outcomes of Pregnancies Complicated by Moderate to Severe Thrombocytopenia Caused by Gestational Thrombocytopenia Preeclampsia / HELLP Syndrome and Immune Thrombocytopenic PurpuraSuna Özdemir0Hüseyin Görkemli1Ali Acar2Çetin Çelik3Erkan Kayıkçıoğlu4Department of Gynecology and Obstetric, Selçuk University Meram Medical Faculty, KonyaDepartment of Gynecology and Obstetric, Selçuk University Meram Medical Faculty, KonyaDepartment of Gynecology and Obstetric, Selçuk University Meram Medical Faculty, KonyaDepartment of Gynecology and Obstetric, Selçuk University Meram Medical Faculty, KonyaDepartment of Hematology, Selçuk University Meram Medical Faculty, KonyaOBJECTIVE: Aim of this study was to compare obstetric risk factors and complications, and outcomes of pregnancies associated with moderate to severe thrombocytopenia caused by gestational thrombocytopenia (GT), preeclampsia/HELLP syndrome, and immune thrombocytopenic purpura (ITP). STUDY DESIGN: The study was composed of 135 women with a platelet count below 100.000/mm3. The characteristics and clinical details of all women and neonatal were recorded during their hospital course. RESULTS: The ratio of severe thrombocytopenia was observed significantly lower in GT group compared with preeclampsia / HELLP syndrome and ITP groups. Higher rates of oligohydroamnios, IUGR, and placental abruption were found among patients in preeclampsia+HELLP syndrome group. The rates of Apgar scores (<7) at 1 and 5 min, pH values (<7,2), and amniotic fluid with meconium were higher in preeclampsia / HELLP syndrome group. Neonatal thrombocytopenia was recorded in a total of 5 infants. CONCLUSION: The thrombocytopenia with preeclampsia/HELLP syndrome had less favorable obstetric and fetal outcomes.http://gorm.com.tr/index.php/GORM/article/view/462Gestational thrombocytopenia, Preeclampsia/HELLP syndrome, Immune thrombocytopenic purpura, Fetal outcomes |
spellingShingle | Suna Özdemir Hüseyin Görkemli Ali Acar Çetin Çelik Erkan Kayıkçıoğlu A Comparison of Maternal and Fetal Outcomes of Pregnancies Complicated by Moderate to Severe Thrombocytopenia Caused by Gestational Thrombocytopenia Preeclampsia / HELLP Syndrome and Immune Thrombocytopenic Purpura Gynecology Obstetrics & Reproductive Medicine Gestational thrombocytopenia, Preeclampsia/HELLP syndrome, Immune thrombocytopenic purpura, Fetal outcomes |
title | A Comparison of Maternal and Fetal Outcomes of Pregnancies Complicated by Moderate to Severe Thrombocytopenia Caused by Gestational Thrombocytopenia Preeclampsia / HELLP Syndrome and Immune Thrombocytopenic Purpura |
title_full | A Comparison of Maternal and Fetal Outcomes of Pregnancies Complicated by Moderate to Severe Thrombocytopenia Caused by Gestational Thrombocytopenia Preeclampsia / HELLP Syndrome and Immune Thrombocytopenic Purpura |
title_fullStr | A Comparison of Maternal and Fetal Outcomes of Pregnancies Complicated by Moderate to Severe Thrombocytopenia Caused by Gestational Thrombocytopenia Preeclampsia / HELLP Syndrome and Immune Thrombocytopenic Purpura |
title_full_unstemmed | A Comparison of Maternal and Fetal Outcomes of Pregnancies Complicated by Moderate to Severe Thrombocytopenia Caused by Gestational Thrombocytopenia Preeclampsia / HELLP Syndrome and Immune Thrombocytopenic Purpura |
title_short | A Comparison of Maternal and Fetal Outcomes of Pregnancies Complicated by Moderate to Severe Thrombocytopenia Caused by Gestational Thrombocytopenia Preeclampsia / HELLP Syndrome and Immune Thrombocytopenic Purpura |
title_sort | comparison of maternal and fetal outcomes of pregnancies complicated by moderate to severe thrombocytopenia caused by gestational thrombocytopenia preeclampsia hellp syndrome and immune thrombocytopenic purpura |
topic | Gestational thrombocytopenia, Preeclampsia/HELLP syndrome, Immune thrombocytopenic purpura, Fetal outcomes |
url | http://gorm.com.tr/index.php/GORM/article/view/462 |
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