| Sinusoidal heart rate patterns as a manifestation of massive fetomaternal hemorrhage in a monochorionic-diamniotic twin pregnancy: a case report. | |
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MedLine Citation:
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PMID: 20145386 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Noriyoshi Watanabe; Seung Chik Jwa; Nobuaki Ozawa; Haruhiko Sago |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-02-10 |
Journal Detail:
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Title: Fetal diagnosis and therapy Volume: 27 ISSN: 1421-9964 ISO Abbreviation: Fetal. Diagn. Ther. Publication Date: 2010 |
Date Detail:
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Created Date: 2010-04-23 Completed Date: 2010-07-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9107463 Medline TA: Fetal Diagn Ther Country: Switzerland |
Other Details:
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Languages: eng Pagination: 168-70 Citation Subset: IM |
Copyright Information:
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Copyright 2010 S. Karger AG, Basel. |
Affiliation:
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Division of Obstetrics, Department of Perinatology, National Center for Child Health and Development, Setagaya, Tokyo, Japan. watanabe-n@ncchd.go.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section Diseases in Twins / diagnosis*, physiopathology Erythrocyte Count Female Fetal Hemoglobin / analysis Fetomaternal Transfusion / diagnosis*, physiopathology Heart Rate, Fetal* Hematocrit Humans Infant, Newborn Pregnancy Pregnancy Complications, Cardiovascular / diagnosis*, physiopathology Pregnancy Complications, Hematologic / diagnosis*, physiopathology |
| Chemical | |
Reg. No./Substance:
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9034-63-3/Fetal Hemoglobin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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