Aplastic anemia in two consecutive pregnancies: obstetric and anesthetic management

Abstract

Aplastic anemia is a serious condition occasionally coexisting with pregnancy. This pathological process is associated with significant maternal and neonatal morbidity and mortality. Obstetric and anesthetic management are particularly challenging, and treatment requires knowledge of pathophysiologic mechanisms in order to provide safe care to this group of patients. We describe the successful obstetric management and labor analgesia of a patient with a diagnosis of aplastic anemia in two consecutive pregnancies.

Keywords: Aplastic anemia; Neuraxial anesthesia; Obstetric anesthesia; Thrombocytopenia.