The major concern regarding delivery in mothers with thrombocytopenia of undetermined cause has been the risk of neonatal thrombocytopenia and intracranial haemorrhage (ICH). The two main differential diagnoses that may be difficult to separate until after delivery are gestational thrombocytopenia and ITP, as both are diagnoses of exclusion. Pregnancies complicated with fetal anomalies, preexisting maternal disease (Diabetes mellitus, liver or renal disease, blood dyscrasias, Tuberculosis, epilepsy, collagen disorders) were excluded from the study. Neonates of all cases were tested for thrombocytopenia by cord blood sampling. All women enrolled were followed up by estimation of platelet count till 7th postpartum day. There were 27 (10%) early neonatal deaths, 53 (19.6%) intrauterine deaths, 4 (1.5%) still births and 187 (69%) were healthy babies.