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Life-threatening fetal anemia secondary to fetal-maternal hemorrhage. A case report
Decreased fetal movement noted by the mother was the presentation of a severe fetal-maternal bleed. A nonstress test and oxytocin challenge test resulted in cesarean section. The infant, with Apgar scores of 7 and 8 at one and five minutes, respectively, was viable, and her initial hemoglobin was 4.9 and hematocrit, 14. A fetal-maternal bleed of approximately 350 ml was documented. This case demonstrates the importance of careful prenatal monitoring. We recommend looking for severe fetal-maternal hemorrhage as the cause of fresh stillbirth.
Decreased fetal movement noted by the mother was the presentation of a severe fetal-maternal bleed. A nonstress test and oxytocin challenge test resulted in cesarean section. The infant, with Apgar scores of 7 and 8 at one and five minutes, respectively, was viable, and her initial hemoglobin was 4.9 and hematocrit, 14. A fetal-maternal bleed of approximately 350 ml was documented. This case demonstrates the importance of careful prenatal monitoring. We recommend looking for severe fetal-maternal hemorrhage as the cause of fresh stillbirth.
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