|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: high-risk obstetricsFrom: Dr Antonio Valdez (avaldez@infolnk.net)Sun Mar 30 16:04:53 1997
At 12:21 PM 3/30/97 -0600, ROSARA GANDELMAN wrote: >I am practicing gynecologist, and I have a patient who is suffering of >ideopathic thrombocytopenia and is reciving treatment to mantein >platelet count in normal level. BTW...I have a patient 22y GI with a diagnosis of idiopathic thrombocytopenic purpura (ITP) 2 months before the pregnancy under treatment with prednisone 20mg/day with complete relapse of the ITP, asyntomatic, with platelet levels every two months over 200,000 with no needs of other traetment, now on her 8th month of pregnancy..... In this particular lady,DO you consider the need of PUBS to check the fetal levels of platelets...as I know, the fetal risk of death in a PUBS is 1%...I know that there isn't a predictor of fetal thrombocytopenia..but in Burrow's MEDICAL COMPLICATIONS OF PREGNANCY said..." the risk of fetal thrombocytopenia is low in infants born to mathers with no history of ITP prior to pregnancy...20 to 40% of such infants presents some degree of thrombocytopenia, and in this infants there is a 1 to 3% of cranial bleeding" ... so the risk of cranial bleeding in this baby is 0.2 to 0.4% versus 1% risk of PUBS..... Thank you for your comments....
--
Antonio Valdez-Torres MD FACOG
Hospital Guernika
Ciudad Juarez, Chihuahua, Mexico
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:21:26 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.