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A Microfluidic Flow Chamber Model for Platelet Transfusion and Hemostasis Measures Platelet Deposition and Fibrin Formation in Real-time
Published on: February 14, 2017
Platelet disorders in pregnancy
1Monash University, Monash Medical Centre, Clayton, Victoria, Australia. robert.burrows@med.monash.edu.au
Automated cell counters frequently detect thrombocytopenia in pregnant individuals. However, this condition is usually benign and rarely indicates fetal thrombocytopenia, diminishing its clinical significance.
Area of Science:
- Hematology
- Obstetrics
- Perinatology
Background:
- Historically, thrombocytopenia diagnosis relied on clinical suspicion.
- Automated cell counters have increased the detection rate of thrombocytopenia in pregnancy.
- The clinical significance of commonly detected thrombocytopenia in pregnancy has been overlooked.
Purpose of the Study:
- To re-evaluate the clinical significance of thrombocytopenia in pregnancy.
- To assess the utility of maternal thrombocytopenia as a predictor of fetal thrombocytopenia.
Main Methods:
- Review of clinical data and diagnostic criteria for thrombocytopenia in pregnant patients.
- Analysis of the correlation between maternal thrombocytopenia and fetal outcomes.
Main Results:
- Thrombocytopenia in pregnancy is frequently identified through automated cell counting.
- The majority of cases of thrombocytopenia in pregnant individuals are clinically benign.
- Maternal thrombocytopenia has minimal value as an indicator of fetal thrombocytopenia.
Conclusions:
- The widespread detection of thrombocytopenia in pregnancy by automated counters has reduced its perceived clinical importance.
- Maternal thrombocytopenia is generally not a reliable marker for fetal thrombocytopenia.
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