Pancytopenia in pregnancy

A woman in her 30s presented to the obstetric emergency department with fatigue and light headedness in her third pregnancy at 35 weeks’ gestation. Previous pregnancies resulted in an uneventful vaginal delivery and spontaneous pregnancy loss in the first trimester. There was no history of breathles...

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Bibliographic Details
Published in:BMJ (Online) 2022-11, Vol.379, p.e069158
Main Authors: Murali, Akshaya, Manivannan, Prabhu, Dorairajan, Gowri, Keepanasseril, Anish
Format: Article
Language:English
Subjects:
Anemia
Blood platelets
Blood pressure
Body weight loss
Bone marrow
Diuretics
Emergency medical care
Endgames
Fever
Folic acid
Hematological diseases
Hemoglobin
Hepatitis
Intensive care
Iron
Leukemia
Malignancy
Neutrophils
Obstetrics
Pancytopenia
Pregnancy
Substance use
Ultrasonic imaging
Vegetarian diet
Vitamin B
Vitamin B12
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Summary:A woman in her 30s presented to the obstetric emergency department with fatigue and light headedness in her third pregnancy at 35 weeks’ gestation. Previous pregnancies resulted in an uneventful vaginal delivery and spontaneous pregnancy loss in the first trimester. There was no history of breathlessness, palpitations, fever, weight loss, chronic condition, or substance use disorder, or family history of blood disorders or malignancy. She had been prescribed oral iron and folate (cobalamin) supplementation according to local antenatal guidelines but took these irregularly. She had a vegetarian diet.
ISSN:1756-1833
1756-1833
DOI:10.1136/bmj-2021-069158