Severe Neonatal Anemia Due to Spontaneous Massive Fetomaternal Hemorrhage at Term: An Illustrative Case with Suspected Antenatal Diagnosis and Brief Review of Current Knowledge

被引：3

作者：

Gica, Nicolae ^{[1
,2
]}

Botezatu, Radu ^{[1
,2
]}

Demetrian, Mihaela ^{[2
]}

Vayna, Ana Maria ^{[2
]}

Cimpoca-Raptis, Brindusa Ana ^{[1
,2
]}

Ciobanu, Anca Marina ^{[1
,2
]}

Gica, Corina ^{[1
,2
]}

Peltecu, Gheorghe ^{[1
,2
]}

Panaitescu, Anca Maria ^{[1
,2
]}

机构：

[1] Univ Med & Pharm, Carol Davila Dept Obstet & Gynecol, Bucharest 020021, Romania

[2] Filantropia Clin Hosp, Bucharest 011171, Romania

来源：

MEDICINA-LITHUANIA | 2021年 / 57卷 / 12期

关键词：

fetomaternal hemorrhage; fetoplacental hemorrhage; fetomaternal bleeding; Kleihauer-Betke test; fetal anemia; cardiotocography; reduced fetal movements; DOPPLER SONOGRAPHY;

D O I：

10.3390/medicina57121285

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Fetomaternal hemorrhage is defined as transfer of fetal blood into placental circulation and therefore into maternal circulation during pregnancy, and represents an important contributor to intrauterine fetal demise and neonatal death. The condition is rarely diagnosed prenatally because clinical findings are often nonspecific, and it is unpredictable. In this paper we present an illustrative case of massive spontaneous fetomaternal hemorrhage where the diagnosis was highly suspected antenatally based on maternal reported reduced fetal movements, abnormal suggestive cardiotocographic trace, and increased peak systolic velocity in the fetal middle cerebral artery. We discuss obstetrical and neonatal management and review the current knowledge in the literature. Maintaining a high index of suspicion for this condition allows the obstetrician to plan for adequate diagnostic tests, arrange intrauterine treatment or delivery, and prepare the neonatal team.

引用

页数：8