Document Detail

Sinusoidal heart rate patterns as a manifestation of massive fetomaternal hemorrhage in a monochorionic-diamniotic twin pregnancy: a case report.
MedLine Citation:
PMID:  20145386     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: A case of fetomaternal hemorrhage (FMH) in monochorionic twins is reported. METHOD: Case report. RESULT: The patient felt a decrease in fetal movements at 32 gestational weeks. Cardiotocography showed sinusoidal heart rate patterns in both fetuses. The fetal hemoglobin level in maternal blood was 6.6% (normal 0.0-1.0%). Since the patient was diagnosed with massive FMH, cesarean section was performed and both babies delivered to receive neonatal treatment. Severe anemia was apparent in both infants, based on red blood cell count, hemoglobin concentration, and hematocrit of 86 x 10 and 85 x 10(4)/mm(3) (normal 376-456 x 10(4)/mm(3)), 3.1 g/dl each (normal 10.9-13.5 g/dl), and 10.7 and 10.4% (normal 32.2-41.2%), respectively. Severe anemia may develop in both fetuses following massive FMH in monochorionic twins. As such, if abnormal circulation is detected in 1 monochorionic twin, the other fetus will also require special attention.
Noriyoshi Watanabe; Seung Chik Jwa; Nobuaki Ozawa; Haruhiko Sago
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-02-10
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  27     ISSN:  1421-9964     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:  2010  
Date Detail:
Created Date:  2010-04-23     Completed Date:  2010-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  168-70     Citation Subset:  IM    
Copyright Information:
Copyright 2010 S. Karger AG, Basel.
Division of Obstetrics, Department of Perinatology, National Center for Child Health and Development, Setagaya, Tokyo, Japan.
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MeSH Terms
Cesarean Section
Diseases in Twins / diagnosis*,  physiopathology
Erythrocyte Count
Fetal Hemoglobin / analysis
Fetomaternal Transfusion / diagnosis*,  physiopathology
Heart Rate, Fetal*
Infant, Newborn
Pregnancy Complications, Cardiovascular / diagnosis*,  physiopathology
Pregnancy Complications, Hematologic / diagnosis*,  physiopathology
Reg. No./Substance:
9034-63-3/Fetal Hemoglobin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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