Thrombocytopenia is a very frequent problem among sick neonates. This artic
le provides neonatologists with a practical approach to the thrombocytopeni
c neonate, with an emphasis on conditions that could be life threatening or
could have significant implications for further pregnancies. An overview o
f the current therapeutic modalities is also presented, including a discuss
ion of the possible use of recombinant thrombopoietic cytokines to treat ce
rtain groups of thrombocytopenic neonates.