Table 1: Causes of thrombocytopenia during pregnancy and relative frequencies.
|
Thrombocytopenia Etiologies during Pregnancy |
|
Pregnancy-related |
|
Gestational Thrombocytopenia, 70-80% |
|
Thrombocytopenia in systemic disease |
|
- Preeclampsia, 15-20% |
|
- HELLP syndrome, < 1% |
|
Non-pregnancy related |
|
Congenital |
|
-Von Willebrand syndrome, < 1% |
|
-Hereditary thrombocytopenia, < 1% |
|
Acquired|Immune mediated |
|
- Autoimmune thrombocytopenia, 1-4% |
|
- Systemic lupus erythematosus, < 1% |
|
- Antiphospholipid syndrome, < 1% |
|
- Drug-induced thrombocytopenia, < 1% |
|
Thrombotic thrombocytopenic purpura, hemolytic-uremic syndrome < 1% |
|
Acquired|Non-immune mediated |
|
Secondary thrombocytopenia associated with infectious disease (e.g. HIV, HCV, EBV) |
|
- Bone marrow diseases, < 1% |
|
- Poor nutrition, folate or vitamin B12 deficiency, < 1% |
|
- Hypersplenism, < 1% |