Abstract:
Pregnancy in aplastic anaemia is rare and it offers great problems to haematologist
as well as obstetrician as the management of such cases challenges their skills in deciding the
best treatment option for the patient. It could be life threatening because of the haemorrhage
and sepsis in the mother while the foetus may suffer from intrauterine growth restriction and
intrauterine death. However the gold standard treatment for aplastic anaemia is bone marrow
transplantation, which is contraindicated in pregnancy because it requires high doses of
immunosuppressive therapy which could be toxic to the foetus. There is no universal agreement
about the optimal treatment regime for this disorder in pregnancy. The present case report
describes a patient with aplastic anaemia who was managed with intensive haematological
support leading to delivery of a healthy infant by caesarean section.
