Thrombocytopenia Epidural Threshold — FRCA Final MCQ

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ModerateObstetric AnaesthesiaThrombocytopenia Epidural ThresholdFRCA Final

Platelet count 72 × 10⁹/L at 39 weeks with gestational thrombocytopenia. Generally accepted minimum for epidural?

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Correct answer: C — 80

Most guidelines (OAA, ESRA): 75-80 as lower threshold for neuraxial in obstetrics, provided stable/rising, no coagulopathy. At 72, borderline — risk-benefit discussion. Falling trend, additional coagulation issues, or antiplatelet agents shift balance against neuraxial.

Reference: OAA – 2023 – Neuraxial and thrombocytopenia in obstetrics