Platelet Count and Neuraxial Anesthesia

  • Cathleen Peterson-Layne
  • Beth R. Burton


Neuraxial techniques (e.g., spinals and epidurals) are commonly used for labor analgesia and cesarean deliveries; however, the minimum safe platelet count for their placement is not known. This information is of interest given that thrombocytopenia complicates as many as 10% of pregnancies. This case describes a commonly encountered scenario and illustrates some of the considerations involved in deciding optimal, safe care.


Platelets Thrombocytopenia Epidural Spinal Neuraxial 


  1. 1.
    Chestnut DH, Wong CA, et al. Chestnut’s obstetric anesthesia principles and practice. 5th ed. Philadelphia, PA: Elsevier Saunders; 2014. p. 1047–8.Google Scholar
  2. 2.
    D’Angelo R, Smiley RM, Riley ET, et al. Serious complications related to obstetric anesthesia, the serious complication repository project of the Society for Obstetric Anesthesia and Perinatology. Anesthesiology. 2014;120(6):1505–12.CrossRefPubMedGoogle Scholar
  3. 3.
    Lee LO, Bateman BT, Kheterpal S, et al. Risk of epidural hematoma after neuraxial techniques in thrombocytopenic parturients. Anesthesiology. 2017;126(6):1–12.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Cathleen Peterson-Layne
    • 1
  • Beth R. Burton
    • 1
  1. 1.Department of AnesthesiologyUniversity of Nebraska Medical CenterOmahaUSA

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