Hi everyone. I'm April and I'm due in August with my second child, a boy. I was diagnosed with ITP in April 2008 when I was 31 weeks pregnant with my first child. Quick back story for that pregnancy and delivery: Platelets ranged from about 50,000-70,000 through the last weeks of the pregnancy after I was diagnosed. Platelet count when I was 7 weeks along was 118,000, but I guess since they were a high low no one thought to recheck. I had IVIG at 36 weeks and platelets were in the 60,000's then. I was induced a week later at 37 weeks (was sick with a virus and borderline pre eclampsia) and platelets were 52,000. So no epidural. 22 hour labor. 9.1 ounce baby girl. No complications. Day after delivery I think I was at about 40,000, but then they rose from there. While not pregnant I seem to range from about 70,000-90,000.
This pregnancy I started out around 67,000, but have been sick a lot. Stomach virus, cold, sinus infection and those were all back to back to back and kept my platelets in the 27,000-35,000 range. I'm hoping that now that I am well my counts will resume back to how they were with my first pregnancy, but I also know they may not. I am NOT symptomatic so even at 27,000 I haven't done treatment. I also have type 1 diabetes so steroids are not a great option for me. The plan right now is to do IVIG at 36 weeks.
HOWEVER I've been browsing the boards and doing some research and keep coming across lots of cases where the patient got IVIG and/or platelets during delivery to avoid complications. That was never even mentioned to me with my first pregnancy or this one and I am wondering why. I plan to bring it up to my HEMA and OB soon, but also want to be prepared to discuss it further with them beyond a simple question. It seems like it couldn't do anything but help.
I'd appreciate hearing your experiences with labor and delivery as far as this goes. Thanks in advance!