SUCCESSFUL PREGNANCY FOLLOWING APLASTIC-ANEMIA

Pregnancy following idiopathic aplastic anaemia is rare and is difficu lt to manage because of life-threatening episodes of bleeding and infe ctions. Only a handful of cases has been reported in the literature. T he pregnancies were unsuccessful in the majority. The present report d escribes a patient with moderately severe idiopathic aplastic anaemia who was managed with intensive haematological support leading to deliv ery of a healthy infant by caesarean section. Despite platelet transfu sion refractoriness as a result of transfusions prior to pregnancy, ad equate platelet transfusions prevented excessive bleeding. The literat ure is reviewed and management with platelet transfusions is discussed .