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Haematology
4 months pregnant woman having low platelets between 45-90 since 1st week and now its 4 months. What should be done?
Answers (33)
Need further evaluation. Plz connect and consult for better treatment on procto
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Seek proper consultation from a hematologist. You need a better advice at the earliest, otherwise it's too risky .
Your platelets needs to be improved to continue as well as by the time of delivery
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Consult gynaecologist
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At 4 months, Platelets less than 1lakh count, should be evaluated for Immune Thrombocytopenia ( autoimmune destruction of platelets)mainly and other hemat or hepatic conditions should be rules out, At pregnancy , mothers will have low platelet count, but levels 50000 should be evaluated, For diagnosing itp, other lab reaults should be normal, peripheral smear
Next Steps
CBC
Peripheral smear
LFT
RFT
Urine routine
Health Tips
Avoid worries
Inform every doctor on consult that u have low platelet count
Platelets clots the blood, helps excessive blood loss, so be extra careful on injuries or injections( avoid unnecessarily).
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Consult a doctor.
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Any platelets count lesser than 100000 during pregnancy, should be evaluated by an internist or hematologist to rule out a number of causes including ITP
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Consult your Obstetrician as it looks like some chronic disease which she might not know.
Health Tips
Look for any bruising or bleeding and if occur, consult OBYGN immediately.
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Get a physician consultation
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Definitely needs consult. Need to verify the count by doing a peripheral smear.
Next Steps
peripheral smear
Health Tips
do not delay the consultation and evaluation.
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Since from 1st week she had Low Platelets count now after 4 month condition is the same as previous she might be having some chronic illness which she is not aware about.
Next Steps
Right approach is to consult a Obstetrician which can give you the right opinion
Health Tips
Do not seek attention from any other medical professionals other than Obstetrician beacuse it requires a specialist opinion
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Consult with your gynecologist.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Consult gynaecologist.. also do mention whether before conception what were the platelet count low?
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Consult hematologist and gynecologist, before the expected date of pregnancy, as during delivery if there are low platelets, there is chance of excessive bleeding.
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Immediate consultation with an obstetrician /gynacologist with a hematologist is required .A plt count between 45-90 that began in tge 1st week of pregnancy iis considered moderate thrombocytopenia
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It is very low platelet count for pregnant women need further evaluation
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Visit your gynaecologist for further evaluation
Next Steps
check BP
Health Tips
take adequate fluids and normal balanced diet
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First of all don't panic
Next Steps
do consult to your gynecologist they will guide you further
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Platelet counts of 45,000â90,000 during pregnancy need prompt medical evaluation. Gestational thrombocytopenia is possible, but immune thrombocytopenia and other causes must be ruled out; the trend and complete reports matter.
Next Steps
Platelet counts of 45,000â90,000 during pregnancy need prompt medical evaluation. Gestational thrombocytopenia is possible, but immune thrombocytopenia and other causes must be ruled out; the trend and complete reports matter.
Health Tips
Please see your obstetrician/physician soon for repeat CBC with peripheral smear, blood pressure, liver/kidney tests and urine protein. Avoid aspirin, ibuprofen or self-medication. You may book a Practo consult or visit Synergy Multispeciality Hospital, Miraj for a review.
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Mausambi juice, kiwi, flex seeds, anwala in any form, alovera juice.
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Consultation with a Gynecologist
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr.Mohit singh
General Physician
3 yrs exp
Jhunjhunu
A CBC with peripheral smear should be repeated to rule out platelet clumping and to check for anemia or other low cell counts. BP, urine protein, liver and renal function should also be assessed. Previous platelet counts before pregnancy, if available, are helpful. Depending on the clinical history, infections and other secondary causes may need evaluation.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult with gynecologist
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Dr. Ashish Badal Goswami
General Physician
12 yrs exp
Nagpur
You really want poll like answers from here rather than pay to an obgy dr in practo and get proper guidance.
All pts are just doing timepass want free answersof treatment i urge drs to reject free councelling
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Reesha Varshney
General Physician
1 yrs exp
Hathras
Kindly visit gynaecologist
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Ms. Druthi H S
General Physician
Bangalore
Platelet count of 45,000–90,000/µL during pregnancy needs proper evaluation, especially because it was present from the first trimester. Since gestational thrombocytopenia usually appears later in pregnancy, an early and persistent low platelet count makes conditions such as immune thrombocytopenia (ITP) important to rule out.
At 4 months, I would advise assessment by an obstetrician and a hematologist. The treatment depends on the current platelet count, bleeding symptoms and the underlying cause. Not every patient with 45–90k needs medication immediately.
Next Steps
* Repeat CBC + peripheral smear
*  Check BP, LFT, RFT, urine protein
*  Consult obstetrician + hematologist
*  Continue regular platelet monitoring.
Health Tips
* Avoid aspirin/ibuprofen unless prescribed.
*  Avoid unnecessary injections/trauma.
* Watch for unusual bruising or bleeding.
* Any significant bleeding, severe headache, or high BP → go to hospital immediately.
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Dr. Praveen Kumar
General Physician
4 yrs exp
Jaipur
Consultation with gynaecologist and internal medicine with further laboratory and imaging intervention
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Platelets staying this low through your pregnancy need a doctor watching them closely, not just monitoring at home.
Next Steps
Please see your obstetrician soon with these reports so they can check what is causing it and plan follow-up testing.
Health Tips
Reach out urgently if you notice unusual bruising, bleeding gums, or heavy bleeding of any kind.
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