Conversation: The conversation between human and AI assistant.
[|Human|] I am expecting twins and scheduled for a possibly c section on sept 1st (original was sept 27th). My OB is worried because my platlets have been low in the 85 s however with my first pregnancy it was like that too My question is now she seems to be more worried and I did more testing today She said she spoke with a hematologist and if they are not in the 100 s she wants me on pretizone (steriods) and was wondering why and what are the effects to me and the babies
[|AI|]  Hello, I have gone through your query and understood your concern. Use of corticosteroids during first trimester of pregnancy has been shown to be associated with an increased incidence of oral clefts. There is no reported rise in major malformations. Since you are term, there is no need to worry about malformations. Since you are being posted for an elective cesarean section, it is essential that your coagulation profiles are normal. A lowered platelet count carries with it the risk of increased tendency to bleed during surgery and this is why, your doctor wants the levels to be maintained in normal limits. Please go ahead with the suggested management. Wish you safe motherhood.