Aplastic anemia in two consecutive pregnancies: obstetric and anesthetic management. (February 2018)

• Record Type: Journal Article
• Authors: Riveros-Perez, E.; Hermesch, A.; Barbour, L.; Hawkins, J.
• Is Part Of: International journal of obstetric anesthesia. Volume 33(2018)
• Page Start: 71
• Page End: 75
• Publication Date: 2018-02
• Subjects: Aplastic anemia -- Obstetric anesthesia -- Thrombocytopenia -- Neuraxial anesthesia; Obstetrics -- Periodicals; Anesthesia -- Periodicals; Anesthésie en obstétrique -- Périodiques; Anesthesia; Obstetrics; Electronic journals; Periodicals; 617.9682
• DOI: 10.1016/j.ijoa.2017.08.010
• Languages: English
• ISSNs: 0959-289X

Abstract

Highlights: Aplastic anemia is a serious condition occasionally coexisting with pregnancy. Obstetric and anesthetic management are challenging requiring an interdisciplinary approach. Conservative transfusion management is critical to prevent alloimmunization. No threshold platelet count for neuraxial anesthesia has been established. Anesthetic technique must be evaluated on a case-by-case basis. Abstract: Aplastic anemia is a serious condition occasionally coexisting with pregnancy. This pathological process is associated with significant maternal and neonatal morbidity and mortality. Obstetric and anesthetic management are particularly challenging, and treatment requires knowledge of pathophysiologic mechanisms in order to provide safe care to this group of patients. We describe the successful obstetric management and labor analgesia of a patient with a diagnosis of aplastic anemia in two consecutive pregnancies.