first  preganncy  2022n   and her  plt   was       20 
she redeived   cortisone  and  cyslosporin   rituximab    and


diagnosed  with itp   
after  labour      her  plt  improved to  50-60 


on the second pregnancy  she  developed   plt 
ivig     5  doses 
prednisone  60 mg once 

delivered  before  25  years and she received plt and    steriod before labour 



plan 
do work up for labs 
