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A case of massive chronic fetomaternal transfusion with a loss of 500 ml blood is reported. A review of 24 cases covering the last 10 years shows that chronic fetomaternal transfusions do not lead to intrauterine dystrophy. During birth there is a danger of acute decompensation, which led to an irreversible shock and death in five of the 24 children. Hepatomegaly (7/24) often accompanies cardial insufficiency. The histories of the pregnancies are usually normal. In 5 of 17 women fetal distress was only indicated by antepartal cardiotocography; premature delivery was induced in these cases.
A case of massive chronic fetomaternal transfusion with a loss of 500 ml blood is reported. A review of 24 cases covering the last 10 years shows that chronic fetomaternal transfusions do not lead to intrauterine dystrophy. During birth there is a danger of acute decompensation, which led to an irreversible shock and death in five of the 24 children. Hepatomegaly (7/24) often accompanies cardial insufficiency. The histories of the pregnancies are usually normal. In 5 of 17 women fetal distress was only indicated by antepartal cardiotocography; premature delivery was induced in these cases.