Massive fetomaternal hemorrhage treated with serial combined intravascular and intraperitoneal fetal transfusions

Lynn D. Montgomery, Michael A. Belfort, Karolina Adam

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

One of the many causes of fetal hydrops is fetomaternal hemorrhage. This report presents a pregnancy with fetomaternal hemorrhage that was treated with serial combined intravascular and intraperitoneal fetal transfusions, resulting in a good outcome. A 26-year-old woman seen for ultrasonographic evaluation was found to have a fetus with hydrops fetalis. Fetal brood sampling demonstrated savers fetal anemia (hematocrit 16.4%). The initial Kleihauer-Betke test result on maternal blood was 6% fetal cells. The fetus was transfused five times over a 24-day period by means of a combined intravascular and intraperitoneal route. The fetus also received one platelet transfusion for thrombocytopenia. The pregnancy resulted in a good fetal outcome without the need for postpartum transfusion. This case represents successful treatment of fetal anemia and nonimmune hydrops with a serial combined intravascular and intraperitoneal transfusion technique.

Original languageEnglish (US)
Pages (from-to)234-235
Number of pages2
JournalAmerican Journal of Obstetrics and Gynecology
Volume173
Issue number1
DOIs
StatePublished - Jan 1 1995

Keywords

  • fetal transfusion
  • Fetomaternal hemorrhage

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

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