I received lots and lots of treatments while pregnant - prednisone, dex pulse, whin ro (and transfusions for resulting low red counts), IVIG, spleen removed second trimester, and delivery with whole blood and platelet transfusions. I probably could have gone without all of them except the transfusions, but bottom line is I have a healthy 8 year old and am still alive and kicking. IVIG isn't that risky, just expensive. I think treatment close to term is really more about the OBs worries about HELP than the ITP. If you are getting lots of transfusions, you might ask if single donor is a possibility. It reduces associated risks.