Post partum platelet count in maternal blood

Dahlstrøm, Berit; Nesheim, Britt‐Ingjerd

doi:10.3109/00016349409029405

Cited by 11 publications

(5 citation statements)

References 7 publications

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“…20 They reported that 58 patients received epidural anesthesia with platelet counts between 19 and 143 · 10 9 /L; nine patients received general anesthesia with platelet counts between 36 and 100 · 10 9 /L and four received spinal anesthesia with platelet counts between 67 and 97 · 10 9 /L. 25 Furthermore, the platelet count may be measured during relative hemoconcentration following delivery. 20 In contrast we experienced a case of spinal subarachnoid hematoma following spinal anesthesia performed in a patient with HELLP syndrome but without DIC.…”

Section: Discussionmentioning

confidence: 99%

Spinal subarachnoid hematoma following spinal anesthesia in a patient with HELLP syndrome

Koyama

Tomimatsu

Kanagawa

et al. 2010

International Journal of Obstetric Anesthesia

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Section: Discussionmentioning

confidence: 99%

Spinal subarachnoid hematoma following spinal anesthesia in a patient with HELLP syndrome

Koyama

Tomimatsu

Kanagawa

et al. 2010

International Journal of Obstetric Anesthesia

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“…Males had higher creatinine levels than females during both seasons (P,0.001), perhaps due to their muchlarger muscle mass (the body mass of adult males can be more than three times the mass of adult females; Stewart and Huber, 1993). Platelet counts in human females do not decrease following normal parturition (Dahlstrom and Nesheim, 1994); therefore, it is interesting that northern elephant seals sampled during the breeding season had slightly lower platelet counts than all other adult categories. Although the difference is statistically significant, we did not consider it clinically significant; an animal with a platelet count of 150,000 would not be considered thrombocytopenic, and this value falls within the reference range we calculated for elephant seal adults.…”

Section: Sex and Season Variationmentioning

confidence: 98%

Hematologic and Serum Biochemical Profile of the Northern Elephant Seal (Mirounga Angustirostris): Variation With Age, Sex, and Season

Yochem

Stewart

Mazet

et al. 2008

Journal of Wildlife Diseases

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ABSTRACT:The foraging success, and thus the survival and reproductive success, of deep-diving pinnipeds such as the northern elephant seal, Mirounga angustirostris, depends on the ability to withstand repetitive breath-hold dives. Health parameters can be incorporated as potential explanatory variables for differences observed in diving and migratory performance of individual seals. Furthermore, biomedical samples from apparently healthy individuals can provide valuable baseline data for evaluating effects of natural or anthropogenic threats to individuals and populations. We evaluated 42 blood parameters in 134 northern elephant seals during the breeding and molting seasons (1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999) to test for age, sex, and seasonal differences and to develop reference ranges. Adult males sampled during the breeding season differed from all other adult groups for a suite of parameters often associated with inflammation, infection, or other stressors: lower hematocrit, higher white blood cell count, higher band neutrophils, higher neutrophil count, lower albumin, and lower serum iron. Adult females during the breeding season differed from all other adult categories for two parameters (lower platelet counts, lower alanine aminotransferase activity). Molting males had higher blood urea nitrogen than all other classes; creatinine did not differ between breeding and molting adult males, but was higher in males than in females in both seasons. We found significant differences among age classes for 24 of 42 parameters measured, including higher levels of triglycerides, total protein, calcium, and iron in pups than we found in juveniles or adults. Unlike other mammals which undergo substantial decreases in energy expenditure during prolonged fasting (e.g., hibernation), northern elephant seals defend territories, give birth and suckle large offspring, mate, and molt during their bi-annual fasts. Nonetheless, many studies have described physiologic homeostasis during fasting in elephant seals. The genus Mirounga is superbly adapted to going without feeding for extended periods, and this is reflected in our hematologic and serum biochemical profiles.

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“…does not affect platelet counts 13 . In a study by Usluoğulları et al it was shown that the platelet count decreased significantly more in CS deliveries 14 .…”

Section: Dahlstrøm Et Al Concluded That Uncomplicated Vdmentioning

confidence: 88%

Neonatal outcomes of patients with vaginal delivery after a Caesarean section

UYSAL,

KULHAN,

GÜNENC

2023

Cukurova Medical Journal

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Purpose: The rates of caesarean section (CS) have been increasing in recent years in Türkiye and throughout the world. A previous CS is known to not be an absolute indication for repeat CS, and vaginal delivery (VD) (trial of labor after caesarean (TOLAC)) can occur after a CS. The aim of this study was to investigate the neonatal outcomes of TOLAC patients in Konya City Hospital. Materials and Methods: A retrospective analysis was made of the records of all the births in Konya City Hospital between 10 August 2020 and 10 June 2022. The study included all patients with full or nearly complete cervical dilation-effacement and who had a previous CS. These patients were compared with patients who had elective CS and VD. A total of 119 patients were included in the study in 3 groups; TOLAC n:32, CS n:42, VD n:45. Results: TOLAC patients gave birth earlier and the infant birth weight (2991.25gr), length (50.66cm) and head circumference (34.09cm) measurements were found to be significantly lower than those of the other groups. The development of any problem (icterus, respiratory distress syndrome (RDS), oxygen requirement, hypoglycemia, hypothermia) was determined at a significantly higher rate in the TOLAC (21.9%). Conclusion: Patients with a history of CS do not have to have a repeat CS. TOLAC can be performed in appropriate cases, but care should be taken against uterine rupture, the need for emergency CS, and adverse neonatal outcomes.

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Post partum platelet count in maternal blood

Abstract: Platelet count remains unchanged after uncomplicated vaginal delivery. Shortly following normal pregnancy and uncomplicated cesarean section platelets should be expected to decrease slightly.

Cited by 11 publications

References 7 publications

Spinal subarachnoid hematoma following spinal anesthesia in a patient with HELLP syndrome

Spinal subarachnoid hematoma following spinal anesthesia in a patient with HELLP syndrome

Hematologic and Serum Biochemical Profile of the Northern Elephant Seal (Mirounga Angustirostris): Variation With Age, Sex, and Season

Neonatal outcomes of patients with vaginal delivery after a Caesarean section

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