Hypertension in Pregnant Females Promotes Thrombocytopenia

Pakistan Journal of Medical and Health Sciences Pub Date : 2023-07-06 DOI:10.53350/pjmhs2023176261

A. Naz, A. Bhutto, Ghulam Fatima, Shabnam, Yasmeen Rasheed Bhutto, Aamir Ramzan, Kiran Aamir

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Abstract

Objective: To determine how often pregnant hypertensive women get thrombocytopenia during the pregnancy. Study Design: Retrospective study Place and Duration: People university of Medical and Health Sciences for Women Nawabshah. January 2022 to December 2022. Methods: Total 63 pregnant females were presented. All the presented females had pregnancy induced hypertension with age group 18-46 years. All cases included platelet estimate, and thrombocytopenia was diagnosed in individuals with a reported platelet count of less than 1,50,000/cumm. All data were analyzed with SPSS 24.0. Results: Pregnant females had mean age 28.6±4.35 years and had mean BMI 26.4±3.29 kg/m2. Frequency of primigravida was 27 (42.9%) and 36 (57.1%) cases were multi-gravida. Majority of the patients 55 (87.3%) had blood pressure 140-160/90-110 mmHg and 8 (12.7%) cases had Bp > 160/110 mmHg. Frequency of thrombocytopenia was found in 17 (26.98%) cases. Among 17 cases of thrombocytopenia mild PIH was found in 3 cases, moderate in 5 cases and 8 cases had severe PIH. Conclusion: In particular, in third-trimester hypertensive pregnant women, gestational thrombocytopenia (GT) is recognized as a primary cause of thrombocytopenia. For those women, careful monitoring both during and after pregnancy is advised. Keywords: Thrombocytopenia, Gestational hypertension, Pregnancy

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孕妇高血压会导致血小板减少

目的确定高血压孕妇在妊娠期间患血小板减少症的频率。研究设计：回顾性研究地点和时间：纳瓦布沙赫人民女子医科大学。2022 年 1 月至 2022 年 12 月。研究方法研究对象为 63 名孕妇。所有女性均患有妊娠高血压，年龄在 18-46 岁之间。所有病例都进行了血小板估算，血小板计数低于 1,500,000 个/立方厘米者被诊断为血小板减少症。所有数据均使用 SPSS 24.0 进行分析。结果孕妇的平均年龄为 28.6±4.35 岁，平均体重指数为 26.4±3.29 kg/m2。初产妇 27 例（42.9%），多产妇 36 例（57.1%）。大多数患者的血压为 140-160/90-110 mmHg，55 例（87.3%），8 例（12.7%）血压高于 160/110 mmHg。17 例（26.98%）患者出现血小板减少。在 17 例血小板减少患者中，3 例为轻度 PIH，5 例为中度，8 例为重度 PIH。结论特别是在怀孕三个月的高血压孕妇中，妊娠血小板减少症（GT）被认为是导致血小板减少的主要原因。建议对这些妇女在妊娠期间和妊娠后进行仔细监测。关键词血小板减少妊娠高血压妊娠

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Pakistan Journal of Medical and Health Sciences

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