Misdiagnosis of a normal fetal platelet count after coagulation of intrapartum scalp samples in autoimmune thrombocytopenic purpura

Intrapartum fetal scalp sampling for platelet counts in maternal autoimmune thrombocytopenia has been advocated for determining route of delivery. We report a case in which two coagulated scalp samples were believed to indicate a normal fetal platelet count. As a result, vaginal delivery of a severe...

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Bibliographic Details
Published inAmerican journal of perinatology Vol. 8; no. 5; p. 295
Main Authors Moise, Jr, K J, Patton, D E, Cano, L E
Format Journal Article
LanguageEnglish
Published United States 01.09.1991
Subjects
Adult
Delivery, Obstetric
Diagnostic Errors
False Negative Reactions
Female
Fetal Blood - chemistry
Fetal Diseases - blood
Fetal Diseases - diagnosis
Humans
Infant, Newborn - blood
Male
Platelet Count
Pregnancy
Pregnancy Complications, Hematologic
Purpura, Thrombocytopenic, Idiopathic
Thrombocytopenia - blood
Thrombocytopenia - diagnosis
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Summary:Intrapartum fetal scalp sampling for platelet counts in maternal autoimmune thrombocytopenia has been advocated for determining route of delivery. We report a case in which two coagulated scalp samples were believed to indicate a normal fetal platelet count. As a result, vaginal delivery of a severely thrombocytopenic fetus was allowed.
ISSN:0735-1631
DOI:10.1055/s-2007-999401