Successful outcome after timely management of severe fetal anemia with intrauterine transfusion in female with bad obstetric history

Development of severe fetal anemia due to red cell destruction in intrauterine life, most commonly implicated with hemolytic disease of fetus or newborn. Untreated cases lead to hydrops and even death of newborn. We are reporting a case of severe fetal anaemia successfully delivered after intrauteri...

Descripción completa

Detalles Bibliográficos
Autores principales: Parashar, Rashmi, Bajpayee, Archana, Mishra, Vibha, Gupta, Anubhav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9648308/
https://www.ncbi.nlm.nih.gov/pubmed/36387622
http://dx.doi.org/10.4103/jfmpc.jfmpc_2435_21
Descripción
Sumario:Development of severe fetal anemia due to red cell destruction in intrauterine life, most commonly implicated with hemolytic disease of fetus or newborn. Untreated cases lead to hydrops and even death of newborn. We are reporting a case of severe fetal anaemia successfully delivered after intrauterine transfusion. A 28-year-old female having bad obstetric history G10 P3600, came to our fetal unit at 23 + 4 weeks gestation. Middle cerebral artery peak systolic velocity (MCA PSV) value was 2.2 mom before 1(st) intrauterine procedure. Subsequent intrauterine session was planned at 1–2 week interval. After completion of 3(rd) intrauterine transfusion, MCA PSV value was 0.8 mom and baby was delivered at 32 + 1 week via lower segment cesarean section. Intervention at appropriate time, appropriate volume of selected unit and appropriate rate of transfusion definitely improves perinatal outcome.

Ejemplares similares