Gestational Thrombocytope...

A 17-year-old pregnant woman was taken to a hospital's labor and delivery unit at 40 weeks and 3 days with a clear rupture of membranes and early labor pains. She had a history of a severe case of isolated immune thrombocytopenia with a low platelet count of 33 × 109/L. She had no family history of bleeding tendency or thrombocytopenia (TCP), nor was she taking any medication. She underwent a cesarean section due to dystocia after receiving a single-donor platelet transfusion. Her platelet count increased to 70 × 109/L 12 hours after delivery and 139 × 109/L on day 6 at discharge. She was monitored by a haematologist postpartum with normal laboratory results. Three months later, the woman had a laparoscopic cholecystectomy, during which her platelet was normal. Two years later, she conceived again, and her platelet count dropped to 120 × 109/L at 35 weeks. Her platelet count increased to 89 × 109/L 12 hours after delivery and to 120 × 109/L on day 3 at discharge. The newborn had normal platelet counts. The patient was healthy two years later with normal platelet counts.