Reyes-Hernández MU, Sandoval-García TFA, Morales-Hernández S, Villalpando-Rosales M, Sandoval-Barajas D, Reyes-Gómez U

Language: Spanish
References: 0
Page: 674-678
PDF size: 256.39 Kb.

ABSTRACT

Clicnical case: We describe a case of a 29-year-old primigravid woman, with diagnosis of Glanzmann´s trombasthenia since childhood. The resolution of pregnancy was at 38 weeks, abdominally, established by obstetric indication. No derivative complications of surgery or anesthetic procedure were reported. A live birth, female of 2620 g, 37 weeks by Capurro´s evaluation, and Apgar 8/9 minutes to 1 and 5 was obtained. The patient received transfusions of platelet and globular concentrates to improvement the clinical response. Non-required additional intervention. Two days after she left without complications.
Conclusions: Higher doses of uterotonic agents and platelet transfusion therapy during delivery is usually enough as a preventive approach in these patients. Other options are plasmapheresis, recombinant factor VIIa and steroids. Pregnancy resolution varies upon the patient’s obstetric condition.