Myelodysplastic syndrome in pregnancy--a rare cause of severe anaemia in pregnancy

A 28-year-old woman presented with severe anaemia in pregnancy at a period of gestation of 20 weeks. She was immediately admitted and after proper investigation it was seen that her Hb was 3.5 g/dl and platelet count was 62,000/cmm, RBC showed normocytic, normochromic morphology. There was neither hepatosplenomegaly nor any purpuric spot over the body. Bone marrow showed dyserythropoiesis and its chromosomal study revealed monosomy-7. Her pregnancy was continued till term with repeated packed cell and platelet concentrate transfusions. Normal healthy baby was delivered by caesarean section and she was discharged after 6 days.