Extra hepatic portal vein obstruction and pregnancy outcome: Largest reported experience

AIM: Evaluate pregnancy outcome in women with extra hepatic portal vein obstruction (EHPVO). MATERIAL others presented with thrombosis, pain abdomen and jaundice or incidental splenomegaly. The incidence of abortion, preterm deliveries and still births was 20%, 15.4% and 7.7%, respectively. Underlying hypercoagulable and prothrombotic state was diagnosed in around one-fifth of the patients. Half of these women required platelet transfusion in the intrapartum period due to hypersplenism resulting in thrombocytopenia. Anemia was seen in 40% of the patients; however, no other major complications were seen as a result of EHPVO. The vaginal delivery rate and obstetrical outcome were similar as in general population. CONCLUSION: Pregnancy outcome is expected to be successful in women with EHPVO if disease is adequately controlled prior to pregnancy.