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Post partum platelet count in maternal blood

B L Dahlstrøm1, B I Nesheim

  • 1Department of Obstetrics and Gynecology, Akershus Central Hospital, Nordbyhagen, Norway.

Acta Obstetricia Et Gynecologica Scandinavica
|October 1, 1994
PubMed
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Platelet counts in healthy women remain stable after vaginal delivery but may slightly decrease after cesarean section. This study establishes a baseline for postpartum platelet counts in uncomplicated pregnancies.

Area of Science:

  • Obstetrics and Gynecology
  • Hematology

Background:

  • Thrombocytopenia during pregnancy can indicate serious conditions like preeclampsia or disseminated intravascular coagulation (DIC).
  • Establishing normal postpartum platelet counts in healthy women is crucial for accurate diagnosis.
  • Limited data exists on platelet count changes after uncomplicated vaginal or cesarean deliveries.

Purpose of the Study:

  • To investigate changes in platelet counts in healthy women shortly after uncomplicated pregnancies and deliveries.
  • To provide reference values for postpartum platelet counts.

Main Methods:

  • Blood samples were collected from 22 healthy women (11 after vaginal delivery, 11 after cesarean section).
  • Samples were taken on admission to the obstetric ward, and on the first and third days postpartum.

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  • Platelet count, hemoglobin, and hematocrit were measured.
  • Main Results:

    • No significant changes in platelet count were observed after uncomplicated vaginal delivery.
    • A median decrease of 12.5% in platelet count was noted on the first postoperative day after cesarean section.
    • A median increase of 5% in platelet count was observed by the third postoperative day after cesarean section.

    Conclusions:

    • Postpartum platelet counts remain stable following uncomplicated vaginal deliveries.
    • A slight, transient decrease in platelet count is expected shortly after uncomplicated cesarean sections.