Fetomaternal haemorrhage discovered after trauma and treated by fetal intravascular transfusion

Shlomo Lipitz*, Reuwen Achiron, David Horoshovski, Zeev Rotstein, Dan Sherman, Eyal Schiff

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Fetomaternal haemorrhage can occur spontaneously, or after abdominal trauma. We describe a case of fetomaternal haemorrhage diagnosed at 27 weeks gestation after blunt trauma. The Kleihauer-Betke smear on admission and during the first week was positive, ranging between 3% and 5%. Cordocentesis revealed a fetal haemoglobin of 8.8 gm/dl. An intravascular fetal transfusion was performed. The weeks until delivery and the neonatal period were unremarkable. Fetal anaemia can be a serious complication of fetomaternal haemorrhage, however, intravascular fetal transfusion is an effective treatment when this occurs. The Kleihauer-Betke test should be performed in every patient with a history of abdominal trauma during pregnancy.

Original languageEnglish
Pages (from-to)21-22
Number of pages2
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume71
Issue number1
DOIs
StatePublished - Jan 1997

Keywords

  • fetomaternal haemorrhage
  • intravascular fetal transfusion
  • trauma

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