I want to have children, but I also have ITP. Is it safe for me to get pregnant?
Pregnancy is safe for most people with immune thrombocytopenia (ITP), also known as autoimmune thrombocytopenia. This condition causes too few blood-clotting cells (platelets), so it increases the risk of dangerous bleeding.
The main concern for your doctor will be that you have an adequate number of platelets in your blood at the time of your delivery in order to reduce your risk of bleeding.
If you have a safe number of platelets and don't have any signs of bleeding, such as nosebleeds or bleeding gums, you might not need ITP treatment for most of your pregnancy. Some people need treatment just before delivery to boost the number of platelets in the blood.
If you have ITP, it's unlikely that your baby will be affected. Still, there's a small chance that your baby will be born with a low number of platelets. Your baby's blood will be tested soon after birth and monitored closely. In babies, the platelet count usually goes up on its own. Treatments can help boost platelet count, too.
Rajiv K. Pruthi, M.B.B.S.
May 17, 2019
- Thrombocytopenia in pregnancy. American Society of Hematology. https://www.hematology.org/Clinicians/Guidelines-Quality/Quick-Reference.aspx. Accessed April 25, 2019.
- Immune thrombocytopenia. National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health-topics/immune-thrombocytopenia. Accessed April 25, 2019.