- Mandy Moore announced that she has a rare blood disorder called immune thrombocytopenic purpura (ITP).
- That This is us The 38-year-old star was diagnosed with the condition after giving birth to her son Gus last year. Because of the disruption, they will give birth to her second child “without medication”.
- It is characterized by a low platelet count, which affects the blood’s ability to clot.
A little over a year after the birth of their son Gus in what Mandy Moore called a “devastating” first birth, the This is us star is approaching the due date of baby number two. And like the first birth, she will get through this “without medication,” she said recently Parents todaybecause she has a rare autoimmune condition called immune thrombocytopenic purpura (ITP), which causes low blood platelet levels and makes epidural unsafe.
“My platelets are too low for an epidural,” she shared. “It was awful [before]. But I can do it again. I can climb this mountain again.”
Last Thursday, Moore gave fans a health update regarding her diagnosis today. “I’m fine. I just need to have my blood and platelet counts checked throughout the pregnancy. They’re low, but they’ve always been low,” she said. “But I’m fine. Everything’s fine.”
What causes ITP?
According to the National Library of Medicine, ITP is a blood disorder caused by a reaction in which the immune system accidentally destroys platelets and impairs the blood’s ability to clot. Previous research shows that it is a fairly rare condition in pregnant women, occurring in one or two out of every 1,000 pregnancies. It is often compared to gestational thrombocytopenia, which characterizes a low platelet count in the second half of pregnancy. Moore previously shared on Instagram that she got tested for both conditions and was diagnosed with ITP when her platelets stayed low after giving birth.
How is ITP diagnosed?
A complete blood count, blood film, and bone marrow test are part of an ITP diagnosis, according to the National Heart, Lung, and Blood Institute. A test is also sometimes needed to look for antibodies that attack platelets.
ITP Symptoms and Treatment
Symptoms of ITP include heavy menstrual periods, easy bruising, bleeding into the skin that appears like a rash, and abnormal nose and gum bleeding, according to the National Library of Medicine. Treatment options often include steroids, high-dose gamma globulin infusions, and other drugs. It’s unclear if Moore has undergone any of these, but she shared with her followers that she’s been trying to boost her natural platelet production through a diet of dark leafy greens and lentils. Even then, she admitted her stats “weren’t great,” per Us weekly.
“I wish meds were an option — just the thought of them being on the table is so beautiful,” the actress said today her upcoming childbirth. “But we’re just going to carry on like last time.”
In a March 2021 episode dr Berlin’s informed pregnancy podcast, the 38-year-old detailed her difficult first delivery and how ITP played a role. She explained that her platelets began to drop “exponentially,” which kept her from getting an epidural. Moments later, Gus’ heart rate began to drop and the tension increased. “One second, everything was fine. Then, the next second, it was like this was going to happen. And literally I was pushing harder than before. And it went from no baby to a whole body in seconds,” she said.
“Breaking” pain and all, she didn’t hesitate to say she would do it all over again to become a mother. “I’ve never felt love like this before,” she gushed. “It was like the world stopped again and you didn’t know anything else was going on. Therefore there is no tearing. It does not matter. You only have your baby with you. And I couldn’t imagine that anything else would matter.”
Kayla Blanton is a freelance writer covering all things health and nutrition for men’s health, women’s health and prevention. Her hobbies include constantly sipping coffee and pretending to be a chopped contestant while cooking.