With my first baby, my platelets were mid 60s at 38 weeks. I was given no option but a c/section under a general by my very ill-informed OB who told me that my baby was a risk of bleeding into his brain from a VB as he was likely to have low platelets too - all totally false.
I was diagnosed with ITP with my first but again an incorrect diagnosis. I have gestational thrombocytopenia as I occurs at no other time. If you have never had ITP before being pregnant I believe it is most likely to be gestational.
Your haemotologist is right. You will have options at delivery. The OB I saw later told me that some women get to about 70 in pregnancy and it can be normal - it is just one of those things and mine weren't that significantly less than so he would have considered it normal.
Blood volume increases but platelet production doesn't keep up for some reason. 70 sounds low but there are still billions of platelets so I was told it is actually rarely an issue.
With my second and third babies my platelet count was around 100 at delivery so it was considered mild and it didn't effect anything so I don't know what they would have done if things had been as low as the first time because we never had to cross that bridge.
I have had epidurals and c-sections with no issues.
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