Thrombocytopenia in pregnancy is a common hematological disorder second only to anemia. Cause of thrombocytopenia may be due to an increase in destruction or consumption of platelets, dilutional effects or lack of production of platelets. Gestational thrombocytopenia mostly found in 3rd trimester of pregnancy is most common cause of thrombocytopenia in pregnancy. Neonatal mortality rate is low with ITP mother hence normal vaginal delivery advocated. Thrombocytopenia in hypertensive disorders requires multipronged approach with component therapy and antiepileptic antihypertensive. Choosing best in all treatment modality available is challenge for obstetrician. 

Keywords: Thrombocytopenia; Pregnancy; Autoimmune; Preeclampsia; DIC; Platelet.