Document Detail

Intravascular exchange and bolus transfusion in the severely isoimmunized fetus.
MedLine Citation:
PMID:  2492764     Owner:  NLM     Status:  MEDLINE    
Eight Rh-sensitized fetuses, between 21 weeks 2 days and 35 weeks of gestation, received 31 intravascular transfusions (13 exchange and 18 bolus) and one intraperitoneal transfusion under ultrasonographic guidance. The interval between transfusions was 13.4 +/- 4.7 days. Posttransfusion hematocrit dropped at a rate of 1.0% +/- 0.6% per day. Procedure time for the bolus transfusion was shorter than for the exchange transfusion (t test, p less than 0.001). Bleeding from the puncture site complicated 10 of the 31 intravascular transfusions, without apparent maternal or fetal consequences. Fetuses were delivered between 33 and 36 weeks of gestation, after lung maturity was achieved.
S Ronkin; B Chayen; R J Wapner; A Blocklinger; G Davis; N Roberts; C H Hux
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  160     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1989 Feb 
Date Detail:
Created Date:  1989-03-23     Completed Date:  1989-03-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  407-11     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA 19107.
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MeSH Terms
Blood Transfusion, Intrauterine / adverse effects,  methods*
Exchange Transfusion, Whole Blood / adverse effects,  methods*
Fetal Blood / analysis
Fetal Diseases / therapy*
Rh Isoimmunization / therapy*

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