Management of red cell alloimmunized pregnancies using conventional methods compared with that of middle cerebral

Ashis Sau1, Atef El-Matary, Lyn Newton

  • 1Department of Obstetrics and Gynecology, University Hospital Lewisham, London, UK. ashis@sau3.freeserve.co.uk

The aim of this retrospective study was to find out the effect of change in the management of red cell alloimmunized pregnancies from conventional method of amniocentesis to the Doppler assessment of middle cerebral artery peak systolic velocity (MCA-PSV). There were 29 alloimmunized pregnancies affected by red cell antibodies. Ten cases were managed by amniocentesis and another 19 were managed by MCA-PSV measurements. The antenatal management and perinatal outcome of both groups are presented. This study suggests that the non-invasive monitoring should be the method of choice to monitor alloimmunized pregnancies.