Patient：Description of the disease (onset, main symptoms, hospitalization, etc.): four years ago found thrombocytopenia at that time the platelet count was only 28 no symptoms no treatment two years ago in the Union Hospital diagnosed thrombocytopenia chronic ITP took dexamethasone after taking the drug can be raised to normal after stopping the drug down after taking traditional Chinese medicine at most up to 60 more than 8 months pregnant platelet count has been maintained at 60 more than I would like to know that I should be Which mode of delivery should I choose? Is it better to have a cesarean section with some platelet transfusions before delivery? Wang Jian, Department of Hematology and Rheumatology, The First People’s Hospital of Zigong: Hello: If you have completely stopped taking your medication and have not had any spontaneous bleeding, it means that your primary disease has been relatively stabilized. Please try to choose cesarean section and transfuse platelets as appropriate before the operation. The reason is mainly to prevent craniocerebral hematoma during fetal birth rather than maternal hemorrhage.