Document Detail

Perinatal hemorrhagic shock after fetal scalp blood sampling.
MedLine Citation:
PMID:  20093865     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Fetal scalp blood sampling is commonly used for fetal monitoring during labor to identify intrapartum fetal hypoxia. CASE: A male term neonate was monitored by fetal scalp blood sampling because of abnormal cardiotocographic recordings. After emergency cesarean delivery, the newborn presented with severe hemorrhagic shock as a result of fetal anemia from the scalp blood sampling. Two scalp incisions were identified as the bleeding source. The underlying reason for the development of hemorrhagic shock was factor IX-deficiency resulting from spontaneous mutation. The neonate was subsequently discharged a week later without further complications. CONCLUSION: Complications during fetal scalp blood sampling are very rare, but obstetricians and neonatologists should be aware of the potential presence of coagulopathies, especially with the persistence of scalp bleeding after delivery.
Hemmen Sabir; Hans Stannigel; Annika Schwarz; Thomas Hoehn
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  115     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-22     Completed Date:  2010-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  419-20     Citation Subset:  AIM; IM    
Neonatal and Pediatric Intensive Care Medicine, Department of General Pediatrics, Heinrich-Heine-University, D-40225 Duesseldorf, Germany.
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MeSH Terms
Blood Gas Analysis / methods
Blood Specimen Collection / adverse effects*
Cesarean Section
Fetal Monitoring / adverse effects*
Hemophilia B / complications*,  diagnosis
Infant, Newborn
Shock, Hemorrhagic / etiology*

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