Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage
Joint Authors
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Fetomaternal hemorrhage represents a transfer of fetal blood to the maternal circulation.
Although many etiologies have been described, most causes of fetomaternal hemorrhage remain unidentified.
The differentiation between acute and chronic fetomaternal hemorrhage may be accomplished antenatally and may influence perinatal management.
Case.
A 36-year-old gravida 6 para 3 presented at 37 and 5/7 completed gestational weeks with ultrasound findings suggestive of chronic fetal anemia such as right ventricular enlargement, diminished cerebral vascular resistance, and elevated middle cerebral artery end-diastolic velocity.
On the other hand, signs of acute fetal decompensation such as deterioration of the fetal heart tracing, diminished biophysical score, decreased cord pH, and increased cord base deficit were noted.
Following delivery, the neonate’s initial hemoglobin was 4.0 g/dL and the maternal KB ratio was 0.015 indicative of a significant fetomaternal hemorrhage.
Discussion.
One should consider FMH as part of the differential diagnosis for fetal or immediate neonatal anemia.
We describe a unique case of FMH that demonstrated both acute and chronic clinical features.
It is our hope that this case will assist practitioners in differentiating acute FMH that may require emergent delivery from chronic FMH which may be able to be expectantly managed.
American Psychological Association (APA)
Singh, Paul& Swanson, Tara. 2014. Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage. Case Reports in Obstetrics and Gynecology،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-461326
Modern Language Association (MLA)
Singh, Paul& Swanson, Tara. Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage. Case Reports in Obstetrics and Gynecology No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-461326
American Medical Association (AMA)
Singh, Paul& Swanson, Tara. Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage. Case Reports in Obstetrics and Gynecology. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-461326
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461326