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Obstetrics & Gynecology 1983;62:S16-S20
© 1983 by The American College of Obstetricians and Gynecologists
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Polycythemia Rubra Vera and Pregnancy

JAMES E. FERGUSON, MD, KENT UELAND, MD and WILLIAM J. ARONSON, MD

From The Department of Gynecology and Obstetrics, Stanford University Medical Center, Stanford; and the Department of Obstetrics and Gynecology, Santa Clara Valley Medical Center, San jose, California

Abstract

Polycythemia rubra vera is a rare complication of pregnancy. Only 13 pregnancies occurring in eight women have been reported. The maternal outcome is uniformly good except for an apparent association of pregnancy-induced hypertension. The perinatal outcome is poor and is due to the frequent occurrence of abortion, preterm delivery, and stillbirth. The etiology of the disease is discussed along with symptoms and diagnostic criteria. A young woman who successfully negotiated two pregnancies is presented. Guidelines for hematologic monitoring and management during pregnancy and the early puerperium are proposed.






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