Is a platelet count of 85×10^9/L in the third trimester of pregnancy considered low?
First pregnancy. In the late stage of pregnancy, I feel weak all over and my gums bleed when brushing my teeth. My platelet count was checked and found to be 85×10⁹/L. Is this value too low, and will it affect my baby and me?
Doctor's answer (1)
In general, a platelet count of 85×10^9/L in late pregnancy is considered low.
The normal platelet count range for adults is 150-400×10^9/L. A platelet count of 85×10^9/L during late pregnancy falls below the lower limit of the normal range. This slight decrease may be due to physiological hemodilution, which is one of the normal changes during pregnancy. However, a platelet count below 100×10^9/L may indicate gestational thrombocytopenia, which usually requires further monitoring and management.
There are several possible causes for low platelet counts in late pregnancy, including reduced bone marrow hematopoietic function, megaloblastic anemia, and aplastic anemia. Additionally, if a pregnant woman develops infectious diseases, such as sepsis, during pregnancy, it may lead to increased platelet destruction, thereby affecting normal blood coagulation function.
It is recommended that pregnant women with low platelet counts in late pregnancy seek medical attention promptly for further examination and treatment. The physician will develop an appropriate treatment plan based on the individual condition of the pregnant woman to ensure the safety of both mother and baby.
