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Platelet estimation: its prognostic value in pregnancy induced hypertension
S Mohapatra1, B B Pradhan, U K Satpathy
1Department of Physiology, S.C.B. Medical College, Cuttack. dr_sulatamohapatra@yahoo.com
Indian Journal of Physiology and Pharmacology
|January 8, 2008
Summary
Platelet estimation offers a rapid, cost-effective method for assessing thrombocytopenia in pregnancy-induced hypertension (PIH). This approach provides a reliable alternative to precise platelet counts, especially in resource-limited settings.
Area of Science:
- Obstetrics and Gynecology
- Hematology
- Clinical Pathology
Background:
- Thrombocytopenia frequently accompanies Pregnancy-Induced Hypertension (PIH).
- Accurate platelet counting can be challenging in various healthcare settings.
- Alternative methods for platelet assessment in PIH are needed.
Purpose of the Study:
- To evaluate platelet estimation as a practical alternative to platelet counting for assessing thrombocytopenia in PIH patients.
- To determine the correlation between the severity of PIH and platelet levels.
Main Methods:
- A manual method for platelet estimation was employed.
- Study included 30 normal pregnant women and 90 with varying degrees of PIH (mild PIH, pre-eclampsia, eclampsia).
- Platelet levels were compared across different PIH severity groups and a control group.
Main Results:
- Platelet counts showed an inverse relationship with PIH severity: 2.38 lacs/mm³ (control), 2.23 lacs/mm³ (mild PIH), 1.82 lacs/mm³ (pre-eclampsia), and 1.21 lacs/mm³ (eclampsia).
- Platelet estimation demonstrated a clear trend correlating with increasing PIH severity.
Conclusions:
- Platelet estimation is a valuable, rapid, and inexpensive tool for assessing thrombocytopenia in PIH.
- This method is suitable for use even in rural hospitals lacking advanced diagnostic equipment.
- The findings support the use of platelet estimation for timely clinical decision-making in PIH management.
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