Abstract
Objective: A case report of a pregnant patient with idiopathic thrombocytopenic purpura refractory to clinical treatment, who underwent childbirth in the context of a difficult-to-control disease. Method: Data were collected through medical record survey and literature review. Final Considerations: The case reported regards a complex clinical condition involving management of maternal-fetal well-being in the context of severe hematological disease, regarding ideal therapy options and best moment for delivery indication, minimizing risk of prematurity and adverse events from underlying pathology.