Massive Fetomaternal Hemorrhage Remote from Term: Favorable Outcome after Fetal Resuscitation and Conservative Management.
Decreased fetal movement
Fetal anemia
Fetal blood sampling
Fetal blood transfusion
Fetal hydrops
Fetal thrombocytopenia
Fetomaternal hemorrhage
Middle cerebral artery peak systolic velocity
Journal
Fetal diagnosis and therapy
ISSN: 1421-9964
Titre abrégé: Fetal Diagn Ther
Pays: Switzerland
ID NLM: 9107463
Informations de publication
Date de publication:
2019
2019
Historique:
received:
22
03
2018
accepted:
06
08
2018
pubmed:
11
9
2018
medline:
18
12
2019
entrez:
11
9
2018
Statut:
ppublish
Résumé
Fetomaternal hemorrhage (FMH) is a rare condition that requires early diagnosis and appropriate treatment due to its potentially severe consequences. We report a case of massive FMH presenting as decreased fetal movement, fetal hydrops, and intracranial hemorrhage at 24 weeks. Treatment considerations were made and amniocentesis, fetal blood sampling, and fetal blood transfusion via cordocentesis were performed. Recurrent FMH required subsequent fetal transfusion 2 days later. Surveillance was continued twice weekly until the patient delivered a viable infant at 38 weeks after spontaneous labor. Recurrent FMH was unpredictable due to its unclear etiology and absence of precipitating events, however close surveillance proved effective.
Identifiants
pubmed: 30199875
pii: 000492750
doi: 10.1159/000492750
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
361-364Informations de copyright
© 2018 S. Karger AG, Basel.