Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage
Introduction. Fetomaternal hemorrhage represents a transfer of fetal blood to the maternal circulation. Although many etiologies have been described, most causes of fetomaternal hemorrhage remain unidentified. The differentiation between acute and chronic fetomaternal hemorrhage may be accomplished...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/296463 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832560337460658176 |
|---|---|
| author | Paul Singh Tara Swanson |
| author_facet | Paul Singh Tara Swanson |
| author_sort | Paul Singh |
| collection | DOAJ |
| description | Introduction. Fetomaternal hemorrhage represents a transfer of fetal blood to the maternal circulation. Although many etiologies have been described, most causes of fetomaternal hemorrhage remain unidentified. The differentiation between acute and chronic fetomaternal hemorrhage may be accomplished antenatally and may influence perinatal management. Case. A 36-year-old gravida 6 para 3 presented at 37 and 5/7 completed gestational weeks with ultrasound findings suggestive of chronic fetal anemia such as right ventricular enlargement, diminished cerebral vascular resistance, and
elevated middle cerebral artery end-diastolic velocity. On the other hand, signs of acute fetal decompensation such as deterioration of the fetal heart tracing, diminished biophysical score, decreased cord pH, and
increased cord base deficit were noted. Following delivery, the neonate’s initial hemoglobin was 4.0 g/dL and the maternal KB ratio was 0.015 indicative of a significant fetomaternal hemorrhage. Discussion. One should consider FMH as part of the differential diagnosis for fetal or immediate neonatal anemia. We describe a unique case of FMH that demonstrated both acute and chronic clinical features. It is our hope that this case will assist practitioners in differentiating acute FMH that may require emergent delivery from chronic FMH which may be able to be expectantly managed. |
| format | Article |
| id | doaj-art-af5fd2e9580044f184e44d1c5690c244 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-af5fd2e9580044f184e44d1c5690c2442025-02-03T01:27:52ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/296463296463Acute and Chronic Fetal Anemia as a Result of Fetomaternal HemorrhagePaul Singh0Tara Swanson1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Missouri School of Medicine, Kansas City, MO 64108, USADivision of Pediatric Cardiology, Department of Pediatrics, University of Missouri School of Medicine, Children’s Mercy Hospital, Kansas City, MO 64108, USAIntroduction. Fetomaternal hemorrhage represents a transfer of fetal blood to the maternal circulation. Although many etiologies have been described, most causes of fetomaternal hemorrhage remain unidentified. The differentiation between acute and chronic fetomaternal hemorrhage may be accomplished antenatally and may influence perinatal management. Case. A 36-year-old gravida 6 para 3 presented at 37 and 5/7 completed gestational weeks with ultrasound findings suggestive of chronic fetal anemia such as right ventricular enlargement, diminished cerebral vascular resistance, and elevated middle cerebral artery end-diastolic velocity. On the other hand, signs of acute fetal decompensation such as deterioration of the fetal heart tracing, diminished biophysical score, decreased cord pH, and increased cord base deficit were noted. Following delivery, the neonate’s initial hemoglobin was 4.0 g/dL and the maternal KB ratio was 0.015 indicative of a significant fetomaternal hemorrhage. Discussion. One should consider FMH as part of the differential diagnosis for fetal or immediate neonatal anemia. We describe a unique case of FMH that demonstrated both acute and chronic clinical features. It is our hope that this case will assist practitioners in differentiating acute FMH that may require emergent delivery from chronic FMH which may be able to be expectantly managed.http://dx.doi.org/10.1155/2014/296463 |
| spellingShingle | Paul Singh Tara Swanson Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage Case Reports in Obstetrics and Gynecology |
| title | Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage |
| title_full | Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage |
| title_fullStr | Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage |
| title_full_unstemmed | Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage |
| title_short | Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage |
| title_sort | acute and chronic fetal anemia as a result of fetomaternal hemorrhage |
| url | http://dx.doi.org/10.1155/2014/296463 |
| work_keys_str_mv | AT paulsingh acuteandchronicfetalanemiaasaresultoffetomaternalhemorrhage AT taraswanson acuteandchronicfetalanemiaasaresultoffetomaternalhemorrhage |