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Re: ITP and delivery From: Allen Gardner (allen.gardner@utoronto.ca) Fri Jun 7 12:55:10 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ira Mark Bernstein: "Re: External version" Previous message: Mats Bergstrom: "Re: External version" Sorry, I'm a bit late on picking up on this. Does ITP influence your decisions re amnio? or CVS? Allen. -- Allen Gardner MD Genetics Oshawa General Hospital Oshawa, Ontario, Canada > From: David McCoubrey <mccd@glen-net.ca> > Date: Tue, 21 May 1996 22:25:43 -0400 > Subject: ITP and delivery > To: <@utoronto.ca:allen.gardner@utoronto.ca> > > I currently have two patients in my practice at 28 weeks' gestation > with ITP. > These patients were both diagnosed during this index pregnancy > with low > platelet counts and platelet-associated IgG. They also have > circulating > antiplatelet antibodies. > Both patients have no history of menorrhagia, bleeding, bruising, > petechiae, > etc. > The old standard of therapy was to serially monitor fetal platelet > counts by > scalp sampling during labour and offer cesarean section if fetal > counts were > less than 80 000. > In recent literature(Burrows, et al) in the NEJM their thinking was > that > fetal intracranial hemorrhage was nil in asymptomatic patients > when they > delivered vaginally. > Any thoughts on similar experiences? Your comments would be > appreciated. > Dr. David R. McCoubrey > mccd@glen-net.ca Next message: Ira Mark Bernstein: "Re: External version" Previous message: Mats Bergstrom: "Re: External version"

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