Obstetrics & Gynecology Science

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Case Report
Korean J Obstet Gynecol. 2002;45(8):1444-1448. Published online August 1, 2002.
Successful Vaginal Delivery Following Immunologic Thrombocytopenic Purpuric Woman: Case Report With Prior History.
Heung Sun Lee, Young Sim Lee, In Bai Chung, Myung Jung Hwang, Chung Ho Chang, Young Jin Lee, U H Young
1Department of Obsteterics and Gynecology, Yonsei University, Wonju College of Medicine, Wonju, Korea.
2Department of Clinical Pathology, Yonsei University, Wonju College of Medicine, Wonju, Korea.
Abstract
Thrombocytopenia is hematologic disorder commonly occurs during pregnancy (5%) with different severity. It doesn't cause severe problem during pregnancy and after the delivery if it is not below certain level which will cause spontaneous bleeding. But in this case, patient was previous cesarean section status and platelet number didn't arise more than 20,000/microliter even after transfusion which will cause spontaneous bleeding. Vaginal delivery was done because transverse cesarean section was considered relatively safe although there was the risk of rupture of uterus, and was successful-both mother and baby is in good health condition. Here now we report this case because vaginal delivery of Immunologic thrombocytopenic purpuric woman with prior history of cesarean section has not reported.

Keywords :Thrombocytopenia in pregnancy;Previous cesarean section status;Vaginal delivery

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