IngentaConnect Doppler in fetomaternal hemorrhage

Authors: Sueters M.¹; Arabin B.²; Oepkes D.¹

Source: Ultrasound in Obstetrics and Gynecology, Volume 22, Number 2, August 2003 , pp. 186-189(4)

Abstract:

Fetomaternal hemorrhage (FMH) can cause severe anemia in the fetus. Untreated, this may cause hydrops or even fetal death. However, correct diagnosis of FMH followed by blood transfusion can prevent these life-threatening consequences. We describe two cases in which fetal anemia was suspected because of maternal reporting of decreased or absent fetal movements, the detection of a sinusoidal heart rate pattern and increased blood flow velocities of the middle cerebral artery and umbilical vein. Together with the Betke–Kleihauer test showing fetal cells in the maternal circulation, this led to the correct diagnosis of severe fetal anemia caused by FMH. A Cesarean section was performed within a few hours. Both neonates were severely anemic and received immediate blood transfusions. They are currently alive and well. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.

Keywords: Doppler; fetal anemia; fetomaternal hemorrhage; fetus; ultrasound

Document Type: Case report

DOI: 10.1002/uog.190

Affiliations: 1: Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands 2: Department of Perinatology, Isala Clinics, Zwolle, The Netherlands

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