FRCPath Haem Part 1 MCQ-Gen Haem 145

A 30yr-old pt with known ITP presents in labour. Her most recent platelet count is 48 × 10⁹/L. Which of the following is the most appropriate step?

• Proceed with vaginal delivery without further intervention
• Offer spinal anaesthesia
• Administer IVIG 1 g/kg and tranexamic 1g IV
• Administer platelet transfusion before delivery

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