Massive feto-maternal hemorrhage:: Diagnosis by cardiotocography, Doppler ultrasonography and ST waveform analysis of fetal electrocardiography

被引：15
|
作者：
Malcus, P [1 ]
Björklund, LJ
Lilja, M
Teleman, P
Laurini, R
机构：
[1] Univ Lund Hosp, Dept Obstet & Gynecol, SE-22185 Lund, Sweden
[2] Univ Lund Hosp, Dept Pediat, SE-22185 Lund, Sweden
[3] Univ Lund Hosp, Dept Pathol, SE-22185 Lund, Sweden
[4] Univ Lund Hosp, Dept Pathol, SE-22185 Lund, Sweden
来源：
FETAL DIAGNOSIS AND THERAPY | 2006年 / 21卷 / 01期
关键词：
decreased fetal movements; fetal anemia; feto-maternal hemorrhage; fetal ECG-ST; waveform changes; middle cerebral artery flow velocity; sinusoidal CTG pattern; placenta pathology;
D O I：
10.1159/000089040
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
A 34-year-old healthy gravida 2 para 1 presented after an uncomplicated pregnancy at term with a 2-day history of diminished fetal movements. Fetal anemia was suspected by fetal heart rate monitoring and Doppler estimation of the fetal peak blood flow velocity of the middle cerebral artery. We were also fortunate to register pathological ST waveform changes of the fetal ECG indicating fetal hypoxia. The diagnosis of a massive feto-maternal hemorrhage was confirmed by an extremely high fraction of erythrocytes containing fetal hemoglobin in maternal blood and, after delivery, by placental histology. Copyright (c) 2006 S. Karger AG, Basel.
引用
收藏
页码：8 / 12
页数：5
相关论文
共 23 条
  • [21] Quantification of feto-maternal haemorrhage (FMH) by flow cytometry: anti-fetal haemoglobin labelling potentially underestimates massive FMH in comparison to labelling with anti-D
    Kennedy, GA
    Shaw, R
    Just, S
    Bryson, G
    Battistutta, F
    Rowell, J
    Williams, B
    TRANSFUSION MEDICINE, 2003, 13 (01) : 25 - 33
  • [22] Non-invasive diagnosis by Doppler ultrasonography of fetal anemia due to massive fetomaternal hemorrhage in a case of twin-twin transfusion syndrome treated with serial amnioreduction
    Cosmi, E
    Litta, P
    Andrisani, A
    Di Lenardo, L
    Fadda, GM
    Ambrosini, G
    ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2005, 25 (04) : 415 - 416
  • [23] The Fetal Growth Restriction at Term Managed by Angiogenic Factors Versus Feto-Maternal Doppler (GRAFD) Trial to Avoid Adverse Perinatal Outcomes: Protocol for a Multicenter, Open-Label, Randomized Controlled Trial
    Garcia-Manau, Pablo
    Mendoza, Manel
    Bonacina, Erika
    Martin-Alonso, Raquel
    Martin, Lourdes
    Palacios, Ana
    Luisa Sanchez, Maria
    Lesmes, Cristina
    Hurtado, Ivan
    Perez, Esther
    Tubau, Albert
    Ibanez, Patricia
    Alcoz, Marina
    Valino, Nuria
    Moreno, Elena
    Borrero, Carlota
    Garcia, Esperanza
    Lopez-Quesada, Eva
    Diaz, Sonia
    Roman Broullon, Jose
    Teixidor, Mireia
    Chulilla, Carolina
    Gil, Maria M.
    Lopez, Monica
    Candela-Hidalgo, Amparo
    Salinas-Amoros, Andrea
    Moreno, Anna
    Morra, Francesca
    Vaquerizo, Oscar
    Soriano, Beatriz
    Fabre, Marta
    Gomez-Valencia, Elena
    Cuina, Ana
    Alayon, Nicolas
    Antonio Sainz, Jose
    Vives, Angels
    Esteve, Esther
    Ocana, Vanesa
    Angel Lopez, Miguel
    Maroto, Anna
    Carreras, Elena
    JMIR RESEARCH PROTOCOLS, 2022, 11 (10):
123