Severe neonatal anemia associated with fetomaternal transfusion and persistent fetal circulation

Fricker, H.S.; Zumofen, W.; Hofmann, E.

Helvetica Paediatrica Acta 38(2): 179-183

1983


ISSN/ISBN: 0018-022X
PMID: 6874386
Document Number: 202095
A newborn infant with massive fetomaternal hemorrhage is reported. The fetal blood loss led to severe late decelerations in the antepartal CTG. The newborn showed a marked anemia (Hb 4.9 g%!) and a rapidly progressive heart failure. Despite blood transfusions and digoxin therapy the infant developed the symptoms of a "persistent fetal circulation". This mechanism may have been responsible for the lethal outcome in other reported cases. A successful therapeutic approach adaptable to the different stages of severity of this dangerous perinatal condition is outlined.

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