A woman with established HELLP syndrome at 32 weeks gestation has received antenatal corticosteroids. At what platelet count threshold should platelet transfusion be given BEFORE cesarean delivery?

• A < 100,000/µL
• B < 20,000/µL
• C < 10,000/µL
• D < 50,000/µL ✓

Explanation

For cesarean delivery in HELLP syndrome, platelet transfusion is recommended when the platelet count is < 50,000/µL to ensure hemostatic capacity during surgery. For vaginal delivery, transfusion is typically indicated at < 20,000/µL. Counts between 50,000–100,000/µL are monitored closely but do not automatically mandate transfusion before cesarean.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.