Neuraxial Procedures in Obstetric Patients With Thrombocytopenia

Publication Date: March 1, 2021

Last Updated: March 14, 2022

Recommendations

The Obstetric Patient With a Known Etiology of Thrombocytopenia by Prior Workup or Confirmed Diagnosis of Hypertensive Disorders of Pregnancy^a

1. Assess for history of bleeding associated with thrombocytopenia and confirm no visible signs of DIC such as bleeding from intravenous (IV) sites, catheters, wounds, or new mucocutaneous bleeding. (, )

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i. If concern for a history of bleeding associated with thrombocytopenia or DIC (as described above), then it may be reasonable to avoid neuraxial procedures or seek expert hematologic evaluation before proceeding with the neuraxial procedure.

(C-LD, IIb)

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Overview

Title

Neuraxial Procedures in Obstetric Patients With Thrombocytopenia

Neuraxial Procedures in Obstetric Patients With Thrombocytopenia

Recommendations

The Obstetric Patient With a Known Etiology of Thrombocytopenia by Prior Workup or Confirmed Diagnosis of Hypertensive Disorders of Pregnancya

Overview

Title

Authoring Organization

The Obstetric Patient With a Known Etiology of Thrombocytopenia by Prior Workup or Confirmed Diagnosis of Hypertensive Disorders of Pregnancy^a