Massive fetomaternal hemorrhage and oxytocin contraction test: Case report and review

被引：11

作者：

Bakas P. ^{[1
]}

Liapis A. ^{[1
]}

Giner M. ^{[1
]}

Paterakis G. ^{[2
]}

Creatsas G. ^{[1
]}

机构：

[1] 2nd Department of Obstetrics, University of Athens, Aretaieio Hospital, Athens 11522

[2] Histocompatibility Laboratory, G. Kratiko Hospital, Athens

来源：

Archives of Gynecology and Obstetrics | 2004年 / 269卷 / 2期

关键词：

Fetomaternal hemorrhage; Oxytocin contraction test; Postmaturity sinosuidal pattern;

D O I：

10.1007/s00404-002-0431-3

中图分类号：

学科分类号：

摘要：

We present a case of a nulliparous woman who underwent oxytocin contraction test because of abnormal cardiotocograph. She delivered a severely anemic neonate due to severe fetomaternal hemorrhage. Fetal ultrasonography and Doppler studies of the umbilical arteries may not be helpful, while its worthy to perform flow cytometry for detection of fetal cells in maternal circulation when there is strong clinical suspicion. Management of massive fetomaternal hemorrhage requires immediate delivery by Caesarian section if the gestational age is suitable. Alternatively, for very premature fetuses could be used serial fetal intravascular transfusions if there are the necessary facilities and experienced personnel.

引用

页码：149 / 151

页数：2

共 13 条

[11] Ravid D., Gidoni Y., Bruchin I., Shapira H., Fejgin M.D., Postpartum chills phenomenon: Is it a fetomaternal transfusion reaction?, Acta Obstet Gynecol Scand, 80, pp. 149-151, (2001)
[12] Rouse D., Weiner C., Ongoing fetomaternal hemorrhage treated by serial intravascular transfusions, Obstet Gynecol, 76, pp. 974-975, (1990)
[13] Samadi R., Greenspoon J.S., Gviazda I., Settlage R.H., Goodwin T.M., Massive fetomaternal hemorrhage and fetal death. Are they predictable?, J Perinatol, 19, pp. 227-229, (1999)

← 1 2 →