Lower segment cesarean section in a patient with severe thrombocytopenia and pregnancy induced hypertension

• Main Authors: Minal Harde, Sona Dave, Rahul Ramji Vasave, Pinakin Gujjar, Rakesh Bhadade
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2013-01-01
• Series: Journal of Anaesthesiology Clinical Pharmacology
• Subjects: Hypocellular bone marrow; pregnancy induced hypertension; thrombocytopenia
• Online Access: http://www.joacp.org/article.asp?issn=0970-9185;year=2013;volume=29;issue=3;spage=387;epage=389;aulast=Harde

Thrombocytopenia in pregnancy carries a major risk of feto-maternal morbidity and mortality. We present a case of hypocellular bone marrow with severe thrombocytopenia with pregnancy induced hypertension (PIH) for emergency lower segment cesarean section (LSCS). This disease is characterized by pancytopenia and hypocellular bone marrow with impaired morphology and maturation. Causes of death due to this disease include hemorrhage and infection secondary to thrombocytopenia and neutropenia especially following surgery. We report successful management of emergency LSCS with severe thrombocytopenia with severe PIH.