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[Fetomaternal macrotransfusion with severe fetal anemia].

V Briese, R Plesse

Zentralblatt Fur Gynakologie

|January 1, 1984

Summary

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Fetomaternal hemorrhage, a significant blood loss from fetus to mother, can endanger fetal life. This case report details a severe fetal anemia following a 300 ml fetomaternal hemorrhage, diagnosed via Kleihauer-Betke testing.

Area of Science:

Obstetrics and Gynecology
Fetal Medicine
Neonatalogy

Context:

Fetomaternal hemorrhage (FMH) is a critical obstetric complication.
Significant FMH can lead to severe fetal anemia and adverse outcomes.
Accurate diagnosis and monitoring are crucial for fetal well-being.

Purpose:

To report a case of significant fetomaternal hemorrhage (FMH).
To describe the clinical presentation and diagnostic methods used.
To highlight the potential consequences of FMH on the neonate.

Summary:

A case of approximately 300 ml fetomaternal hemorrhage is presented.
Fetal monitoring revealed mild tachycardia.
The neonate presented with severe anemia, hepatosplenomegaly, and edema post-delivery.

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Diagnosis was confirmed using the Kleihauer-Betke test on maternal blood.

Impact:

This case underscores the importance of recognizing and managing fetomaternal hemorrhage.
Early detection and intervention can potentially improve neonatal outcomes.
Highlights the utility of the Kleihauer-Betke test in diagnosing FMH.