Appointment today - low platelet count

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Appointment today - low platelet count

I had my 29 week appointment today. All is great with the baby but I got the results of my GD blood draw back. The GD results were fine (whew!) but my white blood cell count was elevated and the red blood cell count was a little low, but my doc wasn't too worried about that. She said it could just be an infection or a cold or such (I haven't had any but who knows).

Also, my platelet count was low (108, apparently 150+ is normal). The doc showed me how it has declined over the course of my pregnancy. She then said that if it goes below 100 at the time I'm in labour I won't be able to get an epidural :eek:. I didn't have my heart set on one but I am terrified of labour and now that I know it might not be an option even if I want it I am even more scared!! If this happens I also will have to be put under if I need a C-Section and DH won't be able to be there... this makes me so sad! My blood will get checked again at 36 weeks and they always check at the hospital when you arrive. I'm scared.

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Did she give you any suggestions on how to boost your platelets or what's causing them to drop? The very thought of not being allowed to have an epidural or having to be put under in case of a c-sections would terrify me!! I hope your numbers start to go up so you don't have to worry.

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She said unfortunately some pregnant women just get low platelet numbers for no apparent reason. There is nothing I can eat or do to increase them :(. And to make matters worse, my hospital no longer offers laughing gas so if I cannot have an epidural my only other option is IV drugs (e.g. demorol) and I don't want those...

I am terrified of not being able to get an epidural if I need one and even more terrified of being put under for a c-section - the thought of both DH and me missing the birth of our baby makes me so sad. I am really hoping for numbers to stay stable at the least.

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Hugs...I'm so sorry. I hope your count goes back up so you don't have to deal with these possibilities. In the meantime, I'm sorry you have to worry about it. It must be a huge weight on your mind.

:bighug:

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Don't be scared. It's going to be ok! I am so sorry she scared you! Take a breath. Maybe the #'s will stay above 100?!?! Don't panic until you need to! Hugs.

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I'm sorry you have to be worried about this! Hopefully things will stay just fine and you won't drop below 100. Try not to think about it (I know is that is hard though!!)

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I hope your levels stay the same at least. I can understand that fear of losing an option like the epidural, but babies are born all of the time with out epi's. Are you taking a childbirth class? I would try to be prepared for the Epi-less birth.

Hopefully it won't matter and as long as baby arrives healthy that's all that really matters. :openarms:

Yay for no GD!

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"science_gal" wrote:

She said unfortunately some pregnant women just get low platelet numbers for no apparent reason. There is nothing I can eat or do to increase them :(. And to make matters worse, my hospital no longer offers laughing gas so if I cannot have an epidural my only other option is IV drugs (e.g. demorol) and I don't want those...

I am terrified of not being able to get an epidural if I need one and even more terrified of being put under for a c-section - the thought of both DH and me missing the birth of our baby makes me so sad. I am really hoping for numbers to stay stable at the least.

Yikes, I'm sorry. I had some of these same worries early on (for a different reason though) about possibly not being able to do an epidural and having to be knocked out if I had a c-section. Can you meet with the hospital's anesthesiologist? That's what I did and I felt much better after that meeting since really these decisions won't be up to your OB. She might also be able to tell you more about the effects of the IV drugs available. Also, for a c-section, would a spinal be out of the question?

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:bigarmhug:

I'm sorry you're having to deal with this. Try not to worry about it in the meantime (easier said than done, I'm sure); there's nothing you can do and it will only add stress to you and baby. Hope everything turns out ok. ((HUGS))

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Did the doc say what was causing the low count? Is there anything you can do to deter a further drop? I'm sorry to hear this... I will hope that it stays steady for you and your birth will go smoothly. :bighug:

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Thank you all - you are right, I need to take a breather and not worry until I am actually faced with the situation. I am such a chicken though :rolleyes:.

I will for sure pay extra attention at the childbirth class we are attending in 2 weeks - and I will try hypnobabies again. Somehow the tapes weren't working for me (the voice made me laugh). My OB said 100 is not a hard threshold, some of the anesthesiologists at my hospital will administer an epidural below that, but not much below it. I will check during the hospital tour if I might be able to talk to them, but there are quite a few and I'm afraid it depends on who's working when I come in. I will definitely check out the spinal option - thanks for the tip!

My doc says there is no particular reason for low platelets (besides pregnancy) and they are not harmful at my levels, but if they drop much lower there will be an increased risk of hemorrhaging after birth. There is nothing you can do to increase them naturally. Boo.

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Well we'll just keep our fingers crossed that everything stays fine and that you won't have to worry about any of that! Even if you can't have an epi it's not the end of the world! I recommend you read Ina May's Guide to Childbirth book... it will really open your eyes to what we as amazing women can do during childbirth!!

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WOW!!!! So sorry! But, try hypnobabies again- I hear rave reviews about it! And some women don't find childbirth that "bad" at all. Maybe you will be one of the lucky ones who goes quick, and relatively painless!

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You always have a great attitude, and it is ok to worry about it! At this point I have no big concerns and I'm still worried about labor! KUP!

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ugh sorry about this!! Can't they just transfuse you with platelets? They will probably have to anyway if you are having a c-section. a platelet count under 100 while doing a big surgery like that would cause a lot of increased bleeding.

Hopefully your counts stay up and you won't have to worry about any of this!!