AN UNUSUAL CASE OF GESTATIONAL THROMBOCYTOPENIA: CASE REPORT AND REVIEW OF THE LITERATURE.

Thrombocytopenia is the second most common blood disorder in pregnancy. It is encountered in 7–8% of all pregnancies. Gestational thrombocytopenia accounts for almost three-fourths of all cases of thrombocytopenia. It usually develops in the third trimester, detected incidentally, patients are asymptomatic with no prepregnancy history of low platelets or abnormal bleeding, it is mild thrombocytopenia (counts more than 70 000/?L) and the lower level has never been established. We present an unusual case of thrombocytopenia. Case report:- A pregnant woman aged 27 years was diagnosed with thrombocytopenia in the 38th week of gestation, and she was admitted to our hospital for delivery. The patient had no visible bruises or haematomas on the skin of her body and arms. Complete blood tests were done immediately indicating severe thrombocytopenia, and with platelet count 68000. During hospitalization, the patient was administered 3unit of 350 ml of fresh whole blood. The entire team of experts participated in the diagnostics, treatment and delivery of this patient. On the tenth day after delivery, both the patient and her healthy baby were discharged from the hospital. Conclusion:- This is a unique case, and nothing similar was recorded in the available literature. We consider that diagnostic procedures and treatment, which we administered, resulted in positive outcome for both mother and the baby, representing a precious experience, which may help anyone dealing with this problem.