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Published on: July 17, 2017
Detecting fetomaternal hemorrhage by flow cytometry.
Morten Hanefeld Dziegiel1, Leif Kofoed Nielsen, Adela Berkowicz
1Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark. dziegiel@rh.dk
Current Opinion in Hematology
|October 21, 2006
Summary
Flow cytometry accurately detects fetomaternal hemorrhage by measuring fetal hemoglobin levels. This method aids in diagnosing fetal and newborn anemia, improving clinical outcomes.
Area of Science:
- Hematology
- Immunology
- Perinatal Medicine
Background:
- Fetomaternal hemorrhage (FMH) involves the transfer of fetal blood cells into maternal circulation.
- Accurate detection of FMH is crucial for managing fetal anemia and related complications.
- Flow cytometry offers a sensitive platform for quantifying cellular differences.
Purpose of the Study:
- To review recent advancements in detecting fetomaternal hemorrhage using flow cytometry.
- To highlight the utility of fetal hemoglobin analysis for FMH detection.
Main Methods:
- Flow cytometry analysis of maternal blood samples.
- Quantification of fetal red blood cells based on fetal hemoglobin content.
- Utilizing differences in blood group systems between mother and fetus.
Main Results:
- Maternal red blood cell chimerism due to FMH is readily detectable by flow cytometry.
- Fetal red blood cells are distinguished by their higher fetal hemoglobin (HbF) content.
- HbF levels in red blood cells serve as a reliable marker for FMH detection.
Conclusions:
- Detection of fetomaternal hemorrhage using fetal hemoglobin via flow cytometry is a clinically accurate diagnostic procedure.
- This method is valuable for investigating anemia in fetuses and newborns.
- Recent developments enhance the precision and application of flow cytometry in managing FMH.

