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[Chronic fetomaternal transfusion].

H Rosegger, H Pickel, G Trittenwein

    Padiatrie Und Padologie
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Transplacental feto-maternal hemorrhage, diagnosed via the Kleihauer technique, caused severe infant anemia. This chronic blood loss led to congestive heart failure in the newborn.

    Area of Science:

    • Obstetrics and Gynecology
    • Neonatology
    • Hematology

    Background:

    • Feto-maternal hemorrhage (FMH) is a potential cause of fetal anemia.
    • Diagnosing chronic FMH can be challenging, especially in asymptomatic mothers.

    Observation:

    • A healthy mother delivered a severely anemic infant.
    • Polyhydramnios was noted during pregnancy.
    • Fetal red blood cells were detected in maternal circulation using a modified Kleihauer technique.

    Findings:

    • Other causes of infant anemia (hemolysis, coagulopathy, etc.) were ruled out.
    • The estimated blood volume transfused suggested chronic, significant blood loss.
    • Hematologic data indicated normovolemic anemia, low serum iron, and congestive heart failure in the infant.

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    Implications:

    • This case highlights the importance of considering FMH in unexplained neonatal anemia.
    • Early diagnosis and management of FMH are crucial for preventing severe infant complications.
    • The modified Kleihauer technique is valuable for diagnosing feto-maternal hemorrhage.