I had a low platelet count during my first pregnancy. In my case, that meant the count got down to 100 k/microlitre of blood (normal range is 150-450). I was sent to a blood specialist who was happy for me to stay at the birth centre where I was booked in as long as my counts stayed above 80. In the end, I gave birth with no drugs, and initially refused the shot they give you to speed up third stage. Eventually I conceded to have the oxytocin shot after feeling a few gushes of blood. In the end they estimated that I lost about 450ml of blood, which is not far off from being classified as a hemorrhage. To put that in context though, I lost more blood at the birth of my second child, when there was no concern about low platelets and I had an oxytocin drip for most of the labour and for several hours afterwards.
For what it's worth, I've now found out that my typical non-pregnant counts are in the low 150s, so right at the bottom end of normal.
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