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Am J Perinatol 1997; 14(4): 187-189
DOI: 10.1055/s-2007-994124
ORIGINAL ARTICLE

© 1997 by Thieme Medical Publishers, Inc.

Transient Alteration in Fetal Biophysical Profile Immediately Following Fetomaternal Hemorrhage Sustained During Motor Vehicle Accident

David M. Sherer, Harvey A. Winkler
  • Division of Maternal-Fetal Medicine, The Department of Obstetrics and Gynecology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
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Publication Date:
04 March 2008 (online)

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ABSTRACT

Transient altered fetal behavior manifested by decreased fetal biophysical score at 37 weeks' gestation following maternal injuries sustained in a motor vehicle accident, represented an immediate fetal response to fetomaternal hemorrhage occurring during the accident. Although cesarean delivery had initially been considered due to fetal distress (fetal biophysical score of 4 of 10), the fetal biophysical score improved within 2 hr, permitting spontaneous vaginal delivery of a nonasphyxiated fetus, 24 hr after the traumatic event. To our knowledge this is the first report of a transient abnormal fetal biophysical profile in association with a large fetomaternal hemorrhage.

Keywords

Fetal behavior - biophysical profile - fetomaternal hemorrhage - trauma - motor vehicle accident