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Title: Polycythemia vera and pregnancy: experience of four pregnancies in a single patient. Author: Aggarwal N, Chopra S, Suri V, Sikka P, Goundan A, Malhotra P. Journal: Arch Gynecol Obstet; 2011 Feb; 283(2):393-5. PubMed ID: 20358212. Abstract: INTRODUCTION: The association of polycythemia vera (PV) and pregnancy is rare. The estimated incidence ranges from 0.04 per 100,000 in women aged 20-34 years to 0.25 per 100,000 in those aged 35-39 years. The management of pregnant patient with PV may be problematic; less than 50 pregnancies have been reported so far in PV. MATERIAL AND METHODS: We hereby describe four pregnancies in a woman where PV was diagnosed in the fourth pregnancy. Aspirin and phlebotomy were used to maintain cell count in normal range and to avoid thrombotic complications. CONCLUSION: Pregnancy in PV appears to be associated with significantly better outcome with tailor-made management for achieving good hematocrit control, low-dose aspirin and good maternal and fetal surveillance.[Abstract] [Full Text] [Related] [New Search]