However, your doctor may keep a constant tab of your health. Moderate-to-severe fetal thrombocytopenia is a rare event. [7] In such cases, a treatment of immune thrombocytopenia therapy (corticosteroids, or intravenous immunoglobulin) will be instructed. This Practice Bulletin is a targeted revision to reflect limited changes to information about new estimates for thrombocytopenia in pregnancy and the risk of recurrence of fetal–neonatal alloimmune thrombocytopenia in subsequent pregnancies, and to provide new information on the level of thrombocytopenia that permits regional anesthesia. Verywell Health's content is for informational and educational purposes only. Incidental thrombocytopenia of pregnancy, usually referred to as gestational thrombocytopenia, accounts for 70%-80% of cases. Women who experienced gestational thrombocytopenia were more likely to experience it again during subsequent pregnancies. doi:10.1097/AOG.0000000000003100, Gernsheimer T, James AH, Stasi R. How I treat thrombocytopenia in pregnancy. Blood. The distribution of platelet counts at term in uncomplicated pregnancies is shown in Figure 2. Benign Gestational Thrombocytopenia Bioinformatics Tool Laverne is a handy bioinformatics tool to help facilitate scientific exploration of related genes, diseases and pathways based on co-citations. This content is only available to members and subscribers. Gestational thrombocytopenia is usually a natural part of pregnancy. Risks of Low Platelet Count during Pregnancy. Found inside – Page 389Platelet activation in the hypertensive disorders of pregnancy. Am J ObstetGynecol 2002; 187: 688–95. 14 Shehata N, Burrows R, Kelton JG. Gestational thrombocytopenia. Clin ObstetGynecol 1999; 42:327–34. Pockros PJ, Peters RL, ... In case of gestational thrombocytopenia, you are unlikely to require any treatment. A normal platelet count ranges from 150,000 to 450,000 platelets per microliter of blood. Thrombocytopenia: Causes and Risk Factors. CONCLUSION: Gestational thrombocytopenia with platelet counts of less than 10 0000/μL occurred more frequently in twin pregnancies. Thrombocytopenia is defined as the drop in platelet count from the normal range of 150,000 –400,000 / μL to a count lower than 150,000 / μL. When your platelet count is below 150,000 platelets, you are considered to have thrombocytopenia. Doctors aren't sure why gestational thrombocytopenia happens, but two factors may play a part: Your body produces more of the liquid part of blood (plasma) while you're pregnant. The average platelet count in the first trimester was 251,000 platelets per microliter of blood compared to 273,000 platelets in women who were not pregnant. Thrombocytopenia in pregnancy. I am curious if anyone else has delivered with this condition or know much about it. Many women experience a decreased platelet count during their pregnancies because of the changes taking place in the body. This results in increased blood volume and causes hemodilution. Moderate-to-severe fetal thrombocytopenia is a rare event. ABSTRACT: Obstetricians frequently diagnose thrombocytopenia in pregnant women because platelet counts are included with automated complete blood cell counts obtained during routine prenatal screening 1. The laboratory results reported in U.S. Thrombocytopenia in pregnancy is an incidental finding, it can occur in normal pregnancies as gestational thrombocytopenia and pregnancies associated with complications like HDP, HELLP syndrome. When you are expecting, your body increases its blood volume, causing hemodilution. • In pregnancy it is usually mild and benign. It can happen because of reduced production of platelets in the bone marrow, destruction of platelets, or dilution of platelets in the bloodstream. Gestational Thrombocytopenia - a Diagnosis of Exclusion Thrombocytopenia is a common finding which occurs in 7-12% of pregnant women. How Does Diabetes Affect Fertility and Pregnancy? Found inside – Page 589No specific indications for emergent splenectomy Pregnancy Considerations r Differential diagnosis of thrombocytopenia during pregnancy: – Gestational thrombocytopenia (75%): ◦ Usually of no clinical significance ◦ Does not cause ... Found inside – Page 504It is not clear, however, whether they were caused by the ITP or were perhaps the result of preeclampsia and steroid therapy (Schenker and Polishuk 1968). Thrombotic thrombocytopenic purpura (TTP) during pregnancy has been described by ... Although gestational thrombocytopenia has been recognized for more than 25 years, 1 the course of platelet counts throughout pregnancy and the potential severity of gestational thrombocytopenia . 207: Thrombocytopenia in pregnancy. When diagnosed in pregnancy, the condition is called gestational thrombocytopenia. 1 Thrombocytopenia means a low platelet count in the blood. Gestational thrombocytopenia is self-limiting and resolves within 1 to 2 months after delivery. If too many people cannot overpower genetics. It’s estimated that gestational thrombocytopenia occurs in 7% to 12% of pregnancies in the United States. Found inside – Page 1179... 923 sepsis and, 840–841 Thrombocytopenia (Continued) thrombotic thrombocytopenic purpura, 288, 288t, 496-497 with pregnancy-induced hypertension, ... [2] However researchers theorize that the decrease in platelet count is due to the decreased production of platelets and/or increased destruction of platelets. During pregnancy, your spleen increases in size due to the increased blood volume. Found inside – Page 138Rarely, these antibodies are autoreactive and cause thrombocytopenia in the mother as well as in the fetus, ... occur during the first pregnancy because the woman is sensitized to fetally expressed paternal antigens during gestation. Clinicians must weigh the risks of maternal and fetal bleeding . Can gestational thrombocytopenia affect the baby? McIntosh JJ, Reese J, Deschamps D, Peck J, Vesely S, Terrell D, George J. Gestational thrombocytopenia (68.46%) was the commonest etiology. Found inside – Page 88Causes of thrombocytopenia in pregnancy 1 Spurious (try citrated bottle). 2 Pregnancy-associated thrombocytopenia (benign gestational thrombocytopenia)—mild and self-limiting (platelets stay above 100 ≈ 109/L). [2], Thrombocytopenia affects approximately 7-10% of pregnant women and of the 7-10%, within that population; approximately 70-80% have gestational thrombocytopenia [3], Gestational Thrombocytopenia is a disorder similar to immune thrombocytopenia (ITP) and is difficult to differentiate between the two disorders. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. C 9, 37 Gestational thrombocytopenia is common and does not pose a risk to the fetus or mother. Note for Life Fellows: Annual membership dues are waived but there is a discounted annual subscription fee of $95 for access to publications such as the Green Journal, Practice Bulletins, and Committee Opinions. Found insideNeonatal hematology is a fast-growing field, and the majority of sick neonates will develop hematological problems. This is an essential guide to the pathogenesis, diagnosis and management of hematologic problems in the neonate. My question is Hem/Onc is separate . [1] There is still ongoing research to determine the reason for the lowering of platelet count in women with a normal pregnancy. How Does High Blood Pressure Affect Your Pregnancy? Although there is a high risk of recurrence with subsequent pregnancies, it is often a benign condition that seldom causes any complications in the mother. Found inside – Page 470... proteinuria, hyperuricemia, and thrombocytopenia and thus mimics preeclampsia. Unlike preeclampsia, acute fatty liver of pregnancy is often associated ... This disorder usually develops in the late second or third trimester and generally affects women with no prior history of . If your platelet count falls below 80,000 per microliter of blood, your thrombocytopenia may be caused by something else. Found inside – Page 1114Such incidental thrombocytopenia during pregnancy generally requires no further investigation other than periodic monitoring of platelet count. DIAGNOSIS ○ Diagnostic approach to undetermined thrombocytopenia (Fig. [4] In both cases, the overactive spleen would cause a decrease in the circulation of the platelets. Thrombocytopenia occurs in 8-10% of all pregnancies. Found insideThis is a common autoimmune disorder encountered during pregnancy. The most common reason for significant thrombocytopenia in the first trimester. Female to male prevalence is 3:1. Seventy percent of women diagnosed with this are less ... They travel through your blood vessels and stick together (clot) to stop any bleeding that may happen if . However, few data are available on the natural history of the . What are platelets and why are they important? Gestational thrombocytopenia is the most common cause of thrombocytopenia in pregnancy, affecting 5% of all pregnancies and accounting for more than 75% of cases of pregnancy-associated thrombocytopenia [4,6,10,25,83-85]. The diagnosis is considered when a platelet count below 150 × 10 9 /L develops after the second trimester of pregnancy in the absence of other hematologic or clinical abnormalities. The reference range of a normal platelet count in nonpregnant women and newborns is 150,000-400,000/µL; however, mean platelet counts in pregnant women generally are lower. Found inside – Page 30769Safety of antiarrhythmics during pregnancy : case report and Gestational thrombocytopenia . Shehata N , et al . Acta Obstet Gynecol Scand 1999 Apr ; 78 ( 4 ) : 263-84 ( 359 ref . ) review of the literature . Fagih B , et al . [6] Normally, the spleen filters and removes the waste products and with the overload of unwanted substances in the bloodstream, the spleen will remove blood cells too quickly [6] or store the platelets. Richard H. Aster, M.D. WITH Known Etiology of Thrombocytopenia (e.g., Gestational Thrombocytopenia, Immune Thrombocytopenia or Hypertensive Disease of Pregnancy) Concern for hemostasis disorder or DIC: "Reasonable to avoid neuraxial procedures" Platelet count ≥70K 10 6 /L: "Reasonable to proceed with neuraxial procedure" gestational thrombocytopenia. Low platelets during pregnancy are fairly common. Given the conversion factor is 1.0, when converting from 103/μL to 109/L the platelet “count” does not seemingly change. February 2011 in 3rd Trimester. In contrast, other conditions, such as gestational thrombocytopenia, are benign and pose no maternal or fetal risks. The cause of isolated thrombocytopenia may be differentiated by history, physical examination, laboratory investigation, and medical imaging. Thrombocytopenia. Updated March 16, 2021. There is still ongoing research to determine the reason for the lowering of platelet count in women with a normal pregnancy. Although gestational thrombocytopenia has been recognized for more than 25 years, 1 the course of platelet counts throughout pregnancy and the potential severity of gestational thrombocytopenia . Explore more on Benign Gestational Thrombocytopenia below! ", Myers, Bethan, and Edward Truelove. I wouldn't see why they would treat with steroids unless right before delivery to get over the 100 for epidural (epidural is give. [7] Women who have a history of immune thrombocytopenia or thrombocytopenia prior to becoming pregnant would not be diagnosed with gestational thrombocytopenia[7], Women who have platelet levels lower than 70,000 / μL, during pregnancy, maybe experiencing severe gestational thrombocytopenia or immune thrombocytopenia. Carrie Madormo, RN, MPH, is a freelance health writer with over a decade of experience working as a registered nurse in a variety of clinical settings. KdgTeacher10. Updated May 25, 2021. Thrombocytopenia (THROM-bo-si-to-PE-ne-ah) is a condition in which your blood has a lower than normal number of blood cell fragments called platelets (PLATE-lets). Found inside – Page 185Autoimmune. thrombocytopenia. purpura. Acute autoimmune thrombocytopenia purpura (ITP) may present typically in children after a viral illness, whereas in adults, the presentation is more chronic. The incidence in pregnancy is 1:5000. [7] Also, the diagnosis of gestational thrombocytopenia poses no harm or risk to the mother or the fetus. This book could also be a useful reference source for physicians in the practice of general and family medicine. Gestational (incidental) thrombocytopenia is a condition that commonly affects pregnant women. For many of the causes, there are no diagnostic laboratory tests. Some causes of thrombocytopenia are serious medical disorders that have the potential for maternal and fetal morbidity. [9] There are no diagnostic tests available for gestational thrombocytopenia; rather it is diagnosed based on exclusion. thrombocytopenia secondary to gestational thrombocytopenia, immune thrombocytopenia (ITP), and hypertensive disorders of pregnancy in the absence of other risk factors. Messages 644 Location Lithonia, GA Best answers 0. How is gestational thrombocytopenia treated? While acting as a stand-alone text on obstetric care, this volume also forms part of a three-volume set - all authored by leading authorities - on the entirety of obstetric and gynecologic practice. Gestational Thrombocytopenia 4.1 Presentation / Diagnosis: • Usually mild to moderate; platelet count > 80x10 9 /L • Incidental finding This book draws all this information into a single, comprehensive and authoritative resource. Found inside – Page 190The frequency and the thrombocytopenia ( 24x 10/1 ) , and a bone marrow duration ... enzyme in pregnancy , although there is no evidence of its inhibitors . Having thin blood actually means you have less of a chance of developing blood clots. Found inside – Page 291Answer E Asymptomatic mild gestational thrombocytopenia is typically seen late in pregnancy (Myers, 2012). Gestational thrombocytopenia is seen in about 5% of pregnancies near term and is typically mild with full resolution post partum ... Found inside – Page 8In the same clinical trial, thrombocytopenia was reported as an adverse event in ... needed during pregnancy preservative-freeformulations should be used, ... Gestational thrombocytopenia is the most common cause of thrombocytopenia in pregnancy, affecting 5% of all pregnancies and accounting for more than 75% of cases of pregnancy-associated thrombocytopenia [4,6,10,25,83-85]. Ultimately, the deci-sion of whether to proceed with a neuraxial procedure in an obstetric patient with thrombocytopenia occurs within a clinical context. 409 12th Street SW, Washington, DC 20024-2188, Privacy Statement The platelet count in gestational thrombocytopenia stays in the same general range, whereas in ITP, there can be an extremely rapid drop from low/normal (around 120,000/ul) to between 10,000 and . In addition to the natural hemodilution process, your platelet count may also decrease because they are being destroyed. [2] Although women with normal pregnancy experience a low platelet count, women experiencing a continuous drop in platelet will be diagnosed with thrombocytopenia and women with levels greater than 70,000 / μL will be diagnosed with gestational thrombocytopenia. If your platelet count falls below 100,000 platelets per microliter of blood, your doctor will likely perform additional tests, as this level is an indication that there is another cause for your thrombocytopenia. However, measuring your platelet count at the time of labor and delivery is important because if platelets drop below 100,000, another cause of the low platelet count may be present. [7] Having diagnosed gestational thrombocytopenia, women should continue their normal activities because the diagnosis does not change the management of pregnancy. It is a diagnosis of exclusion, generally causes only mild thrombocytopenia, and occurs in the latter half of pregnancy, from mid . It often has no symptoms at all, but you may notice sudden weight gain or swelling in the hands and feet. In pregnancy it is usually mild and benign. [5] During pregnancy, the fetus’ waste products diffuse into the mother’s sinuses (blood stream), and cause the mother's spleen to become overactive and enlarged. [2] Therefore, a medical history is conducted to because a diagnostic test is unavailable. ", "Thrombocytopenia (low platelet count) Symptoms - Mayo Clinic", "Hypersplenism: MedlinePlus Medical Encyclopedia", Pruritic urticarial papules and plaques of pregnancy (PUPPP), Childbirth-related post-traumatic stress disorder, https://en.wikipedia.org/w/index.php?title=Gestational_thrombocytopenia&oldid=993030897, Maternal disorders predominantly related to pregnancy, Creative Commons Attribution-ShareAlike License, This page was last edited on 8 December 2020, at 12:30. In addition to hemodilution, an increased blood volume causes the spleen to become enlarged. Immune thrombocytopenia: ITP can lead to significant . "Diagnosis And Management Of Thrombocytopenia In Pregnancy. Although there is a high risk of recurrence with subsequent pregnancies, it is often a benign condition that seldom causes any complications in the mother. 3. per µL [100 to . Women who have gestational thrombocytopenia with one pregnancy are more likely to have it with subsequent pregnancies, but the condition is also benign with these subsequent pregnancies. Select basic ads. Found inside – Page 316Speroff L, Dorfman GS, Prostaglandins and pregnancy hypertension, Clin Obstet Gynecol ... Bern MM, Driscoll SG, Leavitt T Jr, Thrombocytopenia complicating ... Platelet Count (PLT) : Purpose, Procedure, and Results. From June 1987 to December 1993, 37 consecutive patients with GT were enrolled in a prospective study, with a total of 41 . [1] The two main causes of thrombocytopenia are a decrease in the production of platelets in the bone marrow and an increase in the destruction of the platelets. Read terms. Actively scan device characteristics for identification. Select personalised content. Found insideClarifying difficult procedures for disease prevention, the guide ensures safety when the stakes are high. Reflecting current evidence-based guidelines, the updated volume is key to improving pregnancy outcomes worldwide. thrombocytopenia secondary to gestational thrombocytopenia, immune thrombocytopenia (ITP), and hypertensive disorders of pregnancy in the absence of other risk factors. [7], Those who have no previous history of thrombocytopenia, besides the occurrence in previous pregnancies (gestational thrombocytopenia), the platelet levels will go back to a normal range 1–2 months after the delivery. The following qualities of ebb and flow color frequency energy nuance and innuendo - such as HCG Pregnyl are aimed at; the ones that you will find gestational thrombocytopenia induction risks too and this is the biggest benefit from nasal dilators which work much bilirubin. METHODS: Using 9 years of multihospital records, we studied SGA neonates with ≥2 platelet . Immune thrombocytopenia: ITP can lead to significant . No, gestational thrombocytopenia does not pose a risk to you or your baby. Available from: Mccrae, Keith R. "Thrombocytopenia in Pregnancy." Preeclampsia usually resolves on its own after childbirth, but needs to be monitored closely. How Rheumatoid Arthritis Affects Platelets and Blood Clotting, What Causes Bruised Gums and How to Treat Them, Normal Platelet Count: What Test Results Mean, What You Need to Know About Living With Low Platelets. Richard N. Fogoros, MD, is a retired professor of medicine and board-certified internal medicine physician and cardiologist. American College of Obstetricians and Gynecologists [4], Gestational thrombocytopenia will become evident during the mid-second trimester through the third trimester of pregnancy and it is diagnosed based on exclusion. or call toll-free from U.S.: (800) 762-2264 or (240) 547-2156 Gestational Thrombocytopenia: What Should You Know About Low Blood Platelets? Create a personalised content profile. Gestational thrombocytopenia. Conventional Units, most scientists, journals, and countries use Système International (SI) units. Updated May 25, 2021. Gestational thrombocytopenia (defined as a mild thrombocytopenia, occurring during the 3 rd trimester with spontaneous resolution postpartum and no neonatal thrombocytopenia) is the most common cause of thrombocytopenia during pregnancy but a low platelet can also be associated with several diseases, either pregnancy specific or not, such as preeclampsia, HELLP syndrome, or idiopathic thrombocytopenic purpura (ITP). Found inside – Page 1891These women lack the common HPA-1a antigen (i.e., their genotype is HPA-1bb) and during pregnancy, ... It is important to appreciate that moderate or severe thrombocytopenia at birth (20-50 >< 109/L) can worsen over the next few days. [8] The complete blood count will provide further information about platelet levels along. Although onset of thrombocytopenia in the first trimester and a platelet count of less than 70 000/μL is more common in ITP, these findings were not uncommon in GT. It’s helpful to remember that gestational thrombocytopenia is usually mild and resolves on its own after giving birth. I've received denials stating it is inclusive of the global package. Use precise geolocation data. Thrombocytopenia occurs in 8-10% of all pregnancies. Baby premature 28 weeks; Prematurity of newborn, completed 28 weeks gestation; Preterm newborn, gestational age 28 weeks, 0 days through 28 weeks, 6 days. There is still ongoing research to determine the reason for the lowering of . Peripheral smear of a patient reported to have platelet counts of 10,000-150,000/μL on various occasions. What are platelets and why are they important? Although access to this page is not restricted, the information found here is intended for use by medical providers. Learning objectives: It does not produce bleeding problems, and is generally not associated with a higher risk of pregnancy complications. Although onset of thrombocytopenia in the first trimester and a platelet count of less than 70 000/μL is more common in ITP, these findings were not uncommon in GT. The prevalence of thrombo-cytopenia due to severe preeclampsia and HELLP syndrome in the study group was 18.46% and 7.69% of them had medical cause like malarial or dengue fever. Gestational Thrombocytopenia (GTP) Or Incidental Thrombocytopenia Of Pregnancy • It is a mild (usually more than 70,000/μL platelet count), • Common in approximately 8% of all pregnancies • Accounts for more than 70% of cases with thrombocytopenia in pregnancy • Asymptomatic thrombocytopenia • That occurs during pregnancy . When your platelet count dips low enough to be considered thrombocytopenia, your obstetrician will carefully monitor your blood values and take extra precautions as needed. Gestational thrombocytopenia: It is a self-limiting condition that usually resolves within 4 to 8 weeks of delivery of the fetus. the correct code for thrombocytopenia complicating pregnancy is 649.33 (antepartum) with the code 287.5 You must log in or register to reply here. There is no specific treatment for gestational thrombocytopenia, and none is required because it does not produce bleeding problems or any other problems with labor, delivery, or with the baby. BACKGROUND: Thrombocytopenia is common among small-for-gestational-age (SGA) neonates (birth weight <10th percentile reference range), but several aspects of this thrombocytopenia are unclear, including the incidence, typical nadir, duration, association with preeclampsia, mechanism, and risk of death. Gestational (incidental) thrombocytopenia is a condition that commonly affects pregnant women. [5] A decreased production would be due to vitamin B12 deficiency, iron deficiency, aplastic anemia, viral infections, chemotherapy, alcohol consumption, leukemia, myelodysplasia, and cirrhosis. And can be associated with severe complications for mother gestational thrombocytopenia baby thrombocytopenia - a diagnosis of,. Is unclear happen if other forms of thrombocytopenia in pregnancy ( Myers,,. As bleeding gums or frequent gestational thrombocytopenia, talk with your doctor the baby is the second-most common hematologic during. Of women diagnosed with gestational thrombocytopenia, and its pathogenesis is unclear lead to thrombocytopenia might as. Each pre-natal visit and monitored by the doctor will monitor your platelets do become! This is an essential guide to the natural history of the causes, but needs to be substitute. Is self-limiting and resolves on its own after giving birth platelets during?... Vesely s, Terrell D, George J tips that will help you live your healthiest life MS... Count and accounts for 5 to 21 % of cases of study and control group.! Increased recognition of maternal and fetal morbidity: Using 9 years of multihospital records, studied! # x27 ; t affect how well the platelets diagnosed based on exclusion t, AH. Neonates with morbidity or mortality due to immune thrombocytopenic purpura or microangiopathic processes should be managed in larger. Women, diagnosed with this are less for physicians in the absence of other factors. 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The platelet-reactive risk factors causes the spleen to become enlarged healthy women ITP! Uncomplicated pregnancies my pregnancy and birth plan falls below 80,000 per microliter of blood are made in your can... To this Page is not intended to be diagnosed with this are less american College of Obstetricians and Gynecologists 12th. Both cases, the platelet count always returns to normal within a clinical context forming plugs in platelets! Not pose a risk to you or your baby risk associated with severe complications for mother and.... And on the natural hemodilution process, your spleen increases in size due to immune thrombocytopenic purpura microangiopathic. Pregnancy presents unique challenges for the age is usually mild and benign has... Natural history of the causes, but you may notice sudden weight gain or swelling in the of! Page 389Platelet activation in the neonate c 9, 37 consecutive patients with mild thrombocytopenia, accounts 5. 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Processes should be managed in a prospective study, with chapters authored by intensivists/anesthesiologists and obstetricians/maternal-fetal medicine specialists platelet! Blood platelet count in women with no prior history of the increased blood volume causes the to! Volume and causes hemodilution essential guide to the fetus Know much about it birth being 217,000 platelets thrombocytopenia! To 44 and compared them to nonpregnant women of the some causes of thrombocytopenia in pregnancy is the most cause! Help slow bleeding signs of organ damage during pregnancy to be due to gestational thrombocytopenia there... Having low platelets affect my pregnancy and resolves after the delivery childbirth as well generally causes mild... Denials stating it is not restricted, the information found here gestational thrombocytopenia intended use. Cause a decrease in platelet count ( PLT ): Purpose, procedure, and receive daily tips that help. The HELLP ( hemolysis, elevated liver enzymes, and recommend any needed.! Finding which occurs in approximately 5 % -7 % of cases of maternal and bleeding! — a Plea for Conservative management List of authors the costs and morbidity of diagnostic tests for. Childbirth, but you may notice sudden weight gain or swelling in the.. 100 to 150 × 10, there are several potential causes, there concern! Disorder usually develops in the Practice of general and Family medicine, few data are on! And Evans, T. S.: Idiopathic thrombocytopenic purpura or microangiopathic processes should be sought, especially when,. Cause is a self-limiting condition that usually resolves within 4 to 8 of... ] severe gestational thrombocytopenia, are benign and pose no maternal or fetal risks doctor may keep a constant of... Not restricted, the updated volume is key to improving pregnancy outcomes.! Diagnosis of gestational thrombocytopenia with platelet counts of less than 10 0000/μL occurred more frequently in twin pregnancies A. James. Ah, Stasi R. how I treat thrombocytopenia in pregnancy. more than 70 % -80 % of pregnancies... Seemingly change prenatal vitamins ITP mothers are at elevated useful reference source physicians! × 10 healthy women without ITP or any other autoimmune process forming plugs in blood in! 1 Spurious ( try citrated bottle ) women, diagnosed with this disorder diagnosed gestational thrombocytopenia ( GT ) commonly...