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Re: OB: Fun with preeclampsia--very long!From: DoctorJoe@aol.comFri Jul 27 23:16:17 2001
In a message dated 7/27/01 8:51:21 PM, cigdem.arkuran@home.com writes: << 1. thrombocytopenia (which remained stable throughout the induction and delivery between 90-100, not typical for HELLP). What was her platelet count during the pregnancy (from antenatal bloodwork)? What was her coags? >> This is a very good point. If you have no previous platelet count to compare with, then a count of say 90k may be alarming but it MAY be "normal" for that patient. It's always good to have a platelet count in the prenatal initial labs to compare with. Most pregnant patients are a little anemic and that usually drives the platelets up... so a 90k platelet count would be a real concern. On the other hand, you DON'T want to drag a lady in for a c/s for a "normal" count FOR HER. It's a conundrum that can only be solved by previous labs or serial labs... (or other findings - proteinuria, seizures, elevated ALT, etc, etc.) Joe P.
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