Prenatal Care

Prenatal care provides a thorough medical monitoring system for young women. This includes a complete blood count (CBC) at the patient's first presentation; any abnormalities other than the expected hematopoi-etic changes should be further investigated, including bone marrow aspirate and biopsy. A repeat hemoglobin/ hematocrit should be performed between 26 and 28 weeks of gestation and again at 32-36 weeks, with further testing according to abnormal results.10

The symptoms of leukemia in general are nonspecific: fatigue, dyspnea, fever, chills, and generalized malaise. Signs may include bleeding, bruising, petechiae, or infections that point to hematologic dysfunction. Pregnant patients should seek medical attention with any of these problems, as the symptoms of acute leukemia will only worsen with time. The diagnosis of any type of malignancy during pregnancy can be challenging as constitutional symptoms are often attributed to a normal pregnancy.

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