PREGNANCY-BIRTH Messages for July, 2001: Re: ITP and birth options

Re: ITP and birth options

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 25 Jul 2001 17:27:44 -0500 (CDT)

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In reply to: Amber: "ITP and birth options"

At Wed, 25 Jul 2001, Amber wrote: >
>I am now a little over 38 weeks pregnant and have itp - i have had a
>splenetomine to raise my platelets which has worked so far - my dr told
>me there is a 10% chance that the baby will have a problem with her
>platelets when born - she gave me 3 options 1) do an amnio and take the
>babies blood to check the platelets 2) do a c section to avoid any
>problems (she told me if there is a problem that it is more dangerous to
>do a vaginal birth) 3) just do a vaginal birth and see what happens -
>well i prefer to just do a c section why take the chance even if its
>only 10% - but when i told her this she argued and told me just to do a
>vaginal birth - i dont agree i would rather suffer with a c section than
>have the baby suffer if there is a problem - why give me 3 choices if im
>not aloud to choose - what would be the best route to take?
>Thank you very much
>Amber

Amber, Because of the fact that you have had the splenectomy, most specialists in maternal-fetal medicine would recommend either the cesarean or fetal blood sampling followed by vaginal birth if the platelet count is normal. If you had not had a splenectomy and your platelet count was greater than 75,000, then the fetal sampling would not be required and you could safely have a vaginal delivery. The bottom line is that it is your choice, but given the splenectomy in your history, I would not opt for a vaginal delivery without a fetal blood sample to check its platelet count... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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