ITP in pregnancy: Doses of corticosteroids

Pregnant women with immune thrombocytopenia should start receiving corticosteroid treatment 2 weeks before delivery. What should be the dose of steroids?

Bertrand Godeau, MD, PhD: It is a debate. Our practice in France is to give prednisone 1 mg/kg of body weight, but some American colleagues use a lower dose of 20 or 25 mg.

I think that it is not really a question, because with a short course of steroids the probability of having severe side effects is very low and a short course of steroids is well tolerated. So my practice is to give 1 mg/kg of body weight.

See also

Recommended management of ITP in pregnancy What is the recommended management of immune thrombocytopenia (ITP) in pregnant women?
Antithrombotic therapies: current patterns of practice and controversies A lecture by Dr Mark Crowther, from McMaster University, Canada, delivered at McMaster International Review Course in Internal Medicine in Kraków in May 2017.
Anticoagulation following an episode of severe bleeding What patients should not be restarted on anticoagulation therapy following an episode of severe bleeding?
A practical approach to a patient with thrombocytopenia A lecture by Prof. John Kelton, from McMaster University, Canada, delivered at McMaster International Review Course in Internal Medicine in Kraków in May 2016.

ITP in pregnancy: Doses of corticosteroids

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