Massive fetomaternal hemorrhage: A case report

Abstract

We present a case with an incidental finding of abnormal cardiotocography (CTG) pattern as well as elevated middle cerebral artery peak systolic velocity (MCA-PSV) in an otherwise inconspicuous pregnancy. Massive fetomaternal hemorrhage (FMH) was detected as the cause by flow cytometry (FC), resulting in multiple cycles of fetal blood sampling (FBS) showing severe anemia, intrauterine transfusions (IUTs), a preterm delivery, and a healthy infant in follow-up examinations.

Zusammenfassung

In diesem Case Report berichten wir von einem Fall mit einem Zufallsbefund eines pathologischen Cardiotokogramm (CTG)-Musters und erhöhter MCA-PSV des Fetus bei einer ansonsten unauffälligen Schwangerschaft. Durch Flow Cytometry (FC) wurde eine Fetomaternale Makrotransfusion diagnostiziert und mehrere Zyklen von intrauterinem blood sampling (FBS) mit dem Ergebnis schwerer fetaler Anämie durchgeführt. Wiederholte intrauterine Transfusionen (IUT) sowie eine vorzeitige Entbindung resultierten in einem gesunden Kind.

Keywords

Fetomaternal haemorrage - Fetal anaemia - Intrauterine transfusion - Fetal blood sampling

Schlüsselwörter

Fetomaternale Transfusion - Fetale Anämie - Intrauterine Transfusion - Fetales blood sampling

Publication History

Received: 09 November 2023

Accepted: 08 December 2023

Article published online:
29 January 2024

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