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 aplatelet 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
The most urgent action is e. HPA matched platelet transfusion. This is crucial for managing severe thrombocytopenia and preventing bleeding complications in the neonate.