Balance risk of thrombocytopenia (for mother and fetus/baby) vs potential teratogenesis from therapy
Treatment indicated if:
Platelets <10,000
Platelets <30,000 and bleeding or in 2nd or 3rd trimester
Risk of prednisone or IVIG outweighed by benefits in above situations
Infant has slightly increased risk of ICH with v low risk of ICH- but higher of normal baby
role of cesarean in preventing ICH controversial
If baby has platelets <30k; IVIG and or prednisone
No contraindication to breastfeeding.
Platelets <10,000
Platelets <30,000 and bleeding or in 2nd or 3rd trimester
role of cesarean in preventing ICH controversial
ITP in Pregnancy
Marrow infiltration 
Inborn errors of metabolism
Viral infections 
Trauma in pregnancy
Marrow suppression 
Acute fatty liver of pregnancy
Congenital thrombocytopenia