Cesarean section combined with splenectomy in a parturient with immune thrombocytopenic purpura.

The case of a 25-year-old parturient with immune thrombocytopenic purpura is discussed. The patient was first seen at 20 weeks' gestation because of a history of thrombocytopenia after delivery of a child six years previously. The patient was not compliant with prednisone therapy or return follow-up visits; a combined cesarean section with splenectomy was planned for this patient. The report discusses the multidisciplinary management of this patient during her pregnancy and delivery.