Introduction
A common haematological disease is thrombocytopenia, which is defined as a platelet count of fewer than 150,000 per litre.1, 2, 3, 4 The most prevalent haematological disorder in pregnancy, it is second only to anaemia.5, 6, 7
Gestational thrombocytopenia is condition with platelets count less than 50000 in a pregnant women, the incidence is asymptomatic and occurs in second half of pregnancy, 8, 9 in the absence of history of thrombocytopenia the of platelets count returns to normal level within two months of postpartum. 10, 11 The gestational thrombocytopenia is not associated with maternal or fetal risk. 12, 13, 14, 15 Even after less risk for mother and child the gestational thrombocytopenia can be serious issue and can cause potential problems5 to mother during labor and postpartum period, hence the prevalence is essential to understand so the present study aim to learn the prevalence of gestational thrombocytopenia in India.
Objectives
The present study is aimed to assess the prevalence of gestational thrombocytopenia in various cities of India.
Materials and Methods
A cross sectional designed to assess the prevalence of gestational thrombocytopenia in India for a period of 6 months from January 2022 to June 2022. A total of 3952 women were investigated from various cities in India like Lucknow, Panipat, Sonipat, Gohana, Delhi. Blood sample was withdrawn. Platelet count was performed using manual method and automated hematology method.
Results
The present study designed to assess the prevalence of gestational thrombocytopenia. The following are the findings of the study.
Table 1
Describes the distribution of the gestational thrombocytopenia cases at various cities under study.
|
S.No. |
City |
Number of samples |
Number of gestational thrombocytopenia |
Percentage |
|
1 |
Lucknow |
645 |
28 |
4.3 |
|
2 |
Panipat |
978 |
39 |
3.9 |
|
3 |
Sonipat |
967 |
36 |
3.7 |
|
4 |
Gohana |
597 |
15 |
2.5 |
|
5 |
Delhi |
765 |
19 |
2.4 |
|
Total |
3952 |
137 |
3.4 |
|
Table 1 describes the distribution of gestational thrombocytopenia cases at various selected cities ofIndia, in Lucknow total 645 samples were collected of them 28 samples, in Panipat total 978 samples were collected 39 samples, in Sonipat total 967 samples were collected of them 36 samples, in Gohana total 597 samples were collected of them 15 samples and in Delhi total 765 samples were collected of them 19 samples were gestational thrombocytopenia respectively.
The study also found that prevalence of gestational thrombocytopenia in total samples of 3952, at Lucknow is 4.3%, Panipat is 3.9%, Sonipat is 3.7%, Gohana is 2.5%, Delhi is 2.4% respectively and total prevalence of gestational thrombocytopenia represented in pie diagram. The study also found that prevalence of gestational thrombocytopenia is 3.4%.
Table 2
hows demographic and obstetrical profile
|
Parameters |
No. of cases |
% |
|
|
Gestational age (weeks) |
30-33 |
37 |
27 |
|
34-36 |
30 |
21 |
|
|
37-40 |
70 |
51 |
|
|
Severity of thrombocytopenia |
Mild |
35 |
25.5 |
|
Moderate |
22 |
16 |
|
|
Severe |
80 |
58.7 |
|
Table 2 shows demographic and obstetrical profile. During the study period records revealed that 37 women (27%) belonged to gestational age of 30-33 weeks, 30 women (21%) belonged to gestational age of 34-36 weeks and 70 women (51%) belonged to gestational age of 37-40 weeks. Thirty-five (25.5%) cases had mild thrombocytopenia, 22 women (16%) had moderate, and 80 women (58.7%) had severe thrombocytopenia.
Discussion
The present study aimed to study the prevalence of the gestational thrombocytopenia in various cities of India. The study conducted for a period of 6 month from January 2022 to June 2022 collected 3952 pregnant samples of which 137 samples showed gestational thrombocytopenia.
The present study designed to assess the distribution of the prevalence of the gestational thrombocytopenia found that the prevalence at Lucknow is 4.3%, Panipat is 3.9%, sonipatis 3.7%, Gohana is 2.5%, Delhi is 2.4% and the overall prevalence of gestational thrombocytopenia is 3.4%, these findings were like the study. 16, 17, 18 Furthermore, Records for the research period showed that 70 women (51%) were gestational age 37–40 weeks, whereas 37 women (27%) were in the 30-33 week, 34–36 week, and 37–40 week ranges. In 35 cases (25.5%), the thrombocytopenia was mild, in 22 cases (16%), it was moderate, and in 80 cases (58.7%), it was severe.
Conclusion
Gestational thrombocytopenia can cause due to number of causes, the knowledge of prevalence of gestational thrombocytopenia can prevent the complication related to decreased platelets, bleeding is the major complication can be life threatening and demanding emergency care, the present study found that prevalence of gestational thrombocytopenia as 3.4% which is evident by other studies. This prevalent gives relevant information to control and prevent the complications, disorder and manage mother and newborn care and well-being
