| Using middle cerebral artery peak systolic velocity to time in utero transfusions in fetomaternal hemorrhage. | |
| | |
MedLine Citation:
|
PMID: 20410780 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Fetomaternal hemorrhage is a rare cause of fetal anemia and hydrops fetalis. Early and severe fetomaternal hemorrhage may benefit from in utero transfusion(s); however, hemorrhage rate is unpredictable, and reliable criteria are needed to identify recurrent anemia. CASE: Fetal hydrops due to massive fetomaternal hemorrhage was diagnosed at 29 weeks. After the first in utero transfusion, daily monitoring of middle cerebral artery peak systolic velocity suggested recurrent fetal anemia, requiring two additional in utero transfusions at 1-week intervals. One day after the third in utero transfusion, a sudden increase in fetomaternal hemorrhage rate was suspected on a rapid elevation of middle cerebral artery peak systolic velocity, leading to immediate delivery at 32 weeks. CONCLUSION: Middle cerebral artery peak systolic velocity is a relevant, noninvasive tool for the timing of repeated in utero transfusions and of fetal delivery in case of chronic fetomaternal hemorrhage. |
| | |
Authors:
|
St?phanie Friszer; Anne Cortey; Fabrice Pierre; Bruno Carbonne |
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 May |
Date Detail:
|
Created Date: 2010-04-22 Completed Date: 2010-05-18 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
|
Languages: eng Pagination: 1036-8 Citation Subset: AIM; IM |
Affiliation:
|
Department of Obstetrics and Gynecology and the Centre National de R?f?rence en H?mobiologie P?rinatale, H?pital Saint-Antoine, Assistance Publique-H?pitaux de Paris, Universit? Pierre et Marie Curie, Paris, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Blood Flow Velocity Blood Transfusion* Chronic Disease Female Fetomaternal Transfusion / physiopathology*, therapy* Humans Hydrops Fetalis / etiology, ultrasonography Middle Cerebral Artery / physiopathology* Monitoring, Physiologic Pregnancy Retreatment Ultrasonography, Doppler Ultrasonography, Prenatal |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The effects of respiratory failure on delivery in pregnant patients with H1N1 2009 influenza.
Next Document: Fetomaternal hemorrhage.