Prevalence of Thrombocytopenia in Neonates Admitted at Rehman Medical Institute Peshawar
DOI:
https://doi.org/10.37762/jwmipt.14Keywords:
Thrombocytopenia, Neonates, Age, HospitalizationAbstract
OBJECTIVE:
Thrombocytopenia is a common hematological abnormality and is defined as platelet count less than 100×109/L. The present study aims to determine the prevalence of thrombocytopenia among neonates.
METHODOLOGY:
The study was conducted at Rehman Medical Institute (RMI) Peshawar from 1st February till 31st March 2021. A total of 100 neonates with the age ≤28 days were randomly selected.
RESULTS:
Male to female ratio was 61:39 in this study. Among all the 100 neonates, 76% have platelets count above the normal value while 24% have thrombocytopenia. 52% of the neonates aged up to 3 days while 36% of the neonates aged 4-14 days and 12% neonates aged above 14 days. Thrombocytopenia was present in 11 % of neonates aged 72 hours or less whereas it was 13% in neonates aged more than 72 hours of life.
CONCLUSION:
The study concludes high prevalence of thrombocytopenia among neonates, which may be attributed to parent’s lack of awareness and poor lifestyle.
References
Bowyer L. The confidential enquiry into maternal and child health (CEMACH). Saving mothers’ lives: reviewing maternal deaths to make motherhood safer 2003-2005. The seventh report of the confidential enquiries into maternal deaths in the United Kingdom. Obstet Med. 2008;1(1):54.
Levy DM. Emergency cesarean section: best practice. Anesthesia. 2006;61(8):786-91
Campbell DC, Tran T. Conversion of epidural labour analgesia to epidural anesthesia for intrapartum cesarean delivery. Can J Anesth. 2009;56(1):19-26
Rawal N, Holmstrom B. The combined spinal-epidural technique. Best Pract Res Clin Anesthesiol. 2003;17(3):347-64
Bevacqua BK. Continous spinal anesthesia: what’s new and what’s not. Best Pract Res Clin Anesthesiol. 2003;17(3):393-406
Dresner M, Pinder A. Anesthesia for cesarean section in women with complex cardiac disease: 34 cases using the Braun Spinocath spinal catheter. Int J Obstet Anesth. 2009;18(2):131-6
Choi PT, Galinski SE, Takeuchi L, Lucas S, Tamayo C, Jadad AR. PDPH is a common complication of neuraxial blockade in parturients: a meta-analysis of obstetrical studies. Can J Anesth. 2003;50(5):460-9
Pallasmaa N, Ekblad U, Gissler M. Severe maternal morbidity and the mode of delivery. Acta Obstet Gynecol Scand. 2008;87(6):662-8
Kodali BS, Chandrasekhar S, Bulich LN, Topulos GP, Datta S. Airway changes during labor and delivery. Anesthesiologist. 2008;108(3):357-62
Reynolds F, Sharma SK, Seed PT. Analgesia in labour and fetal acid-base balance: a meta-analysis comparing epidural with systemic opioid analgesia. Int J Obstet Gynaecol. 2002;109(12):1344-53
Palmer SK. Anaesthesia care for obstetric patients in the United States. In: Reynolds F, ed. Regional Analgesia in Obstetrics – a Millennium Update. London: Springer; 2000
Casey BM, McIntire DD, Leveno KJ. The continuing value of the Apgar score for the assessment of newborn infants. N Engl J Med. 2001;344(7):467-71
Xu Z, Shen F, Zhang Y, Tao Y, Chen X, Liu Z. Combined spinal-epidural anesthesia with hypobaric ropivacaine in sitting position significantly increases the incidence of hypotension in parturients undergoing cesarean section. J Obstet Gynaecol Res. 2017;43(4):669-75
Ram M, Lavie A, Lev S, Blecher Y, Amikam U, Shulman Y, et al. Cardiac hemodynamics before, during and after elective cesarean section under spinal anesthesia in low-risk women. J Perinatol. 2017;37(7):793-9
Kee WD, Khaw KS, Ng FF, Lee BB. Prophylactic phenylephrine infusion for preventing hypotension during spinal anesthesia for cesarean delivery. Anesth Analg. 2004;98(3):815-21
Dyer RA, Reed AR, van-Dyk D, Arcache MJ, Hodges O, Lombard CJ, et al. Hemodynamic effects of ephedrine, phenylephrine, and the coadministration of phenylephrine with oxytocin during spinal anesthesia for elective cesarean delivery. J Am Soc Anesthesiol. 2009;111(4):753-65.
Dyer RA, James MF. Maternal hemodynamic monitoring in obstetric anesthesia. J Am Soc Anesthesiol. 2008;109(5):765-7
Sharwood-Smith G, Drummond GB. Hypotension in obstetric spinal anaesthesia: a lesson from preeclampsia. Br J Anaesth. 2009;102(3):291-4.
Yokose M, Mihara T, Sugawara Y, Goto T. The predictive ability of non- invasive haemodynamic parameters for hypotension during caesarean section: a prospective observational study. Anaesthesia. 2015;70(5):555-62
Kuwata S, Suehiro K, Juri T, Tsujimoto S, Mukai A, Tanaka K, et al. Pleth variability index can predict spinal anaesthesia-induced hypotension in patients undergoing caesarean delivery. Acta Anaesthesiol Scand. 2018;62(1):75-84
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2021-12-20