18 doctors weighed in:
I have gestational thrombocytopenia @ 35 weeks platelets are 102. Will I be able to have epidural?
18 doctors weighed in

Dr. Amy Herold
Obstetrics & Gynecology
14 doctors agree
In brief: Yes
Typically anesthesiologists will give an epidural as long as the platelet count is above 75k.
Depending on the doctor, some are more comfortable with higher or lower values. Giving an epidural when platelets are very low increases the risk of bleeding in the spine which can cause serious complications. Your platelets will be rechecked when you are admitted to the hospital.

In brief: Yes
Typically anesthesiologists will give an epidural as long as the platelet count is above 75k.
Depending on the doctor, some are more comfortable with higher or lower values. Giving an epidural when platelets are very low increases the risk of bleeding in the spine which can cause serious complications. Your platelets will be rechecked when you are admitted to the hospital.
Dr. Amy Herold
Dr. Amy Herold
Thank
Dr. Mitchell Zeitler
Anesthesiology
1 doctor agrees
In brief: Possibly
Specialists have different comfort levels in whether or not to place an epidural.
Most would not place one at 50k or below and between 50 and 100k its a judgement call. You might want to see a hematologist or high risk OB specialist to see what can be done to keep your platelets over 100k.

In brief: Possibly
Specialists have different comfort levels in whether or not to place an epidural.
Most would not place one at 50k or below and between 50 and 100k its a judgement call. You might want to see a hematologist or high risk OB specialist to see what can be done to keep your platelets over 100k.
Dr. Mitchell Zeitler
Dr. Mitchell Zeitler
Thank
Dr. Orrin Ailloni-Charas
Anesthesiology
1 doctor agrees
In brief: You will have
To have your platelet count redrawn prior to the placement of the epidural.
We look at two things, absolute number of platelets and the downward trend. 102k should be fine, but if there is an acute significant drop, that may increase your risk. Also, if your platelets fall below the 70-80k range, you may also be ineligible.

In brief: You will have
To have your platelet count redrawn prior to the placement of the epidural.
We look at two things, absolute number of platelets and the downward trend. 102k should be fine, but if there is an acute significant drop, that may increase your risk. Also, if your platelets fall below the 70-80k range, you may also be ineligible.
Dr. Orrin Ailloni-Charas
Dr. Orrin Ailloni-Charas
Thank
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