Safe Epidural Analgesia in Thirty Parturients with Platelet Counts Between 69,000 and 98,000/mm3

Beilin, Yaakov; Zahn, Jeffrey; Comerford, Michele; Pope, W. D. B.

doi:10.1097/00132586-199804000-00021

Cited by 9 publications

(17 citation statements)

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“…17 Excessive complications were not detected when epidural punctures were carried out with platelet counts .70610 9 /l. 18 Therefore, we adopted 70/l as a threshold for seeking haematological advice in asymptomatic people. Children have not had complications from lumbar punctures carried out with platelet counts .10610 9 /l.…”

Section: ''Minor'' Abnormalities In Blood Count (Db and Ecml)mentioning

confidence: 99%

Best practice in primary care pathology: review 3

Smellie

2006

J Clin Pathol

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This tenth best practice review examines four series of common primary care questions in laboratory medicine: (i) antenatal testing in pregnant women; (ii) estimated glomerular filtration rate calculation; (iii) safety testing for methotrexate; and (iv) blood glucose measurement in diabetes. The review is presented in question-answer format, referenced for each question series. The recommendations represent a précis of guidance found using a standardised literature search of national and international guidance notes, consensus statements, health policy documents and evidence-based medicine reviews, supplemented by Medline Embase searches to identify relevant primary research documents. They are not standards but form a guide to be set in the clinical context. Most are consensus rather than evidence-based. They will be updated periodically to take account of new information.

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Section: ''Minor'' Abnormalities In Blood Count (Db and Ecml)mentioning

confidence: 99%

Best practice in primary care pathology: review 3

Smellie

2006

J Clin Pathol

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“…Beilin et al (18) reported that they performed epidural analgesia for vaginal birth in 30 pregnant women with platelet counts ranging from 69.000-98.000 μL -1 within 3 years time, and they did not observe any complications. Moeller-Bertram et al (12) reported a pregnant woman with ITP who had a platelet count of 26000 μL -1 , which was unknown before the delivery.…”

Section: Discussionmentioning

confidence: 99%

Anaesthesia for Caesarean Section of Pregnant Women with Idiopathic Thrombocytopenic Purpura

Özbılgın¹,

Balkan²,

Sasmaz³

2013

Turk J Anesth Reanim

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Case Report 175Women with idiopathic thrombocytopenic purpura (ITP) may become pregnant, or the disease may occur for the first time during pregnancy. Thrombocytopenia is usually noticed in the first months of pregnancy and the platelet count is often quite low. In this case report, we described the anaesthetic method for caesarean section in a pregnant woman at 38 weeks of gestation with refractory ITP.

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“…Other researchers remain similarly cautious. 4,5 Beilin et al 6 reported 30 women with platelet counts below 100,000/mm 3 (platelet counts ranged from 69,000 to 98,000/mm 3 ), who safely received epidural analgesia for labor. In that study, no parturient had a decreasing platelet count around the time of epidural catheter placement, and no patient had any clinical evidence of bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…The authors recommended that in parturients with thrombocytopenia, an additional platelet count should be obtained as close to the time of epidural placement as possible to ensure that platelets are not decreasing. 6 This action seems especially important in conditions such as ITP or preeclampsia, which may be associated with significant decrease in platelet counts. 7 In our patient, the physical examination conducted before the administration of labor analgesia was negative for any evidence of abnormal hemostasis.…”

Section: Discussionmentioning

confidence: 99%