Article

Preoperative predictors of thrombocytopenia in Caesarean delivery: is routine platelet count testing necessary?

DOI: 10.1080/22201181.2017.1397877
Author(s): Lulama NkomentabaNelson R. Mandela School of Medicine, Discipline of Anaesthesia and Critical Care, South Africa, David G BishopPerioperative Research Group, Department of Anaesthetics, South Africa, Reitze N RodsethPerioperative Research Group, Department of Anaesthetics, South Africa

Abstract

Background: Peri-partum thrombocytopenia significantly impacts anaesthetic technique and increases the risk of perioperative bleeding. However, as less than 5% of normal pregnancies have significant thrombocytopenia, routine platelet testing incurs great cost for a relatively low yield. Determining whether clinical predictors, in particular HIV status, are associated with thrombocytopenia may assist clinicians in rationalising preoperative testing.

Get new issue alerts for Southern African Journal of Anaesthesia and Analgesia