A neonate is found to have petechial spots all over body with gum bleeding and hematuria after a full term normal vaginal delivery. CBC showing normal Hb and WBC with platelet count of 10,000/mm3. Peripheral smear examination is normal. Mother did not have any major problem during pregnancy and has no h/o any autoimmune thrombocytopenia or other autoimmune disease and having a platelet count of 1,70,000/mm3. What urgently to be done?
a. Platelet administration (random)
b. Administer mother’s platelet
c. Steroids
d. High dose IVIg
e. HPA matched platelet transfusion
In a neonate with severe thrombocytopenia (platelet count of 10,000/mm³) and bleeding symptoms, where the mother’s platelet count is normal and there is no history of autoimmune disease, the most urgent and appropriate action is:
a. Platelet administration (random)
Immediate platelet transfusion is crucial to manage the severe thrombocytopenia and prevent further bleeding. Other treatments like IVIg or steroids might be considered based on the underlying cause if platelet transfusion alone is insufficient or if there is a known condition causing the thrombocytopenia.