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To determine the neonatal outcome with maternal idiopathic thrombocytopenia. Descriptive study. Obstetrics and Gynecology Department, Liaqat National Hospital, Karachi, from January to June 2017. All 73 pregnant women diagnosed with idiopathic thrombocytopenia (ITP) during the study period were included. All the patients were kept under observation till birth of newborns. Neonates were assessed for thrombocytopenia, classified as mild, moderate and severe thrombocytopenia as outcome on the first post-natal day. Frequency of neonatal t