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Massive fetomaternal hemorrhage: case report.

H Ishihara1, H Takahashi, Y Takeuchi

  • 1Department of Obstetrics and Gynecology, Tottori University School of Medicine, Yonago, Japan.

Asia-Oceania Journal of Obstetrics and Gynaecology
|September 1, 1990
PubMed
Summary
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Massive fetomaternal hemorrhage (FMH) is rare but can be diagnosed early using the Kleihauer-Betke test. Prompt diagnosis and treatment, like blood transfusion, lead to good outcomes for affected newborns.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Medicine
  • Hematology

Background:

  • Massive fetomaternal hemorrhage (FMH) is a rare obstetric emergency.
  • Early diagnosis is critical due to the poor prognosis associated with FMH in the antepartum and early postpartum periods.

Observation:

  • A case involving a massive FMH with an estimated blood loss of 400 ml is presented.
  • A sinusoidal fetal heart rate pattern suggested fetal anemia.
  • The Kleihauer-Betke test was instrumental in diagnosing the hemorrhage before delivery.

Findings:

  • Emergency cesarean section was performed due to the massive FMH.
  • The neonate presented with severe anemia, indicated by a cord hemoglobin level of 3.7 g/dl.
  • Prompt neonatal blood transfusion effectively treated the severe anemia.

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Implications:

  • This case underscores the necessity of early diagnosis for massive FMH.
  • Timely and appropriate treatment, including neonatal transfusion, can lead to a good clinical course for affected infants.
  • Raising awareness and improving diagnostic capabilities for FMH are vital for improving fetal and neonatal outcomes.