Kindly helps us to eradicate the below scenario,
My wife is suffering from ITP since last 3 month after conceiving (when she was 12 weeks pregnancy),
She delivered a baby boy 3 years ago with normal delivery without having any issues. She is completely normal for her first delivery.
Now She is conceived for the second time, after passing of 12th Week nose bleeding started. We checked with Doctors and they diagnozed and said that she is having a low platelet count of 7,000. So Platelet transfusion was given to stop bleeding risk. After two days she again facing brusing on skin and bleeding again started, we rushed to the hospital and found that her platelet dropped to 1000. Again admitted and IVIG given along with other cortisteroid, Predni and IVIGG seems not much helpful for her,After a hurdle of past 3 month, now she is having a platelet count of 15,000.
Normally her platelet hangs aroung between 10K to 60K for 2 month average after given IVIGG and steroid and sometime it jumps to nearly 80K, Doctors given EDD date on 1st week of sept. Now Doctor suggested us to go for Ceasarean section for delivery also Spleen removal at the same time. But we DONT want to go for Spleen removal as it was only detected last 3 month back even after conceiving the child, might be an ITP can go away post delivery.
your view is more imp. for us. Kindly suggest whether we go for CS with Splenectomy or we can wait sometime and perform Splenectomy.