Intra-uterine transfusion in the management of pregnant women with severe rhesus isoimmunization. II. Results and discussion.
The results of 51 intra-uterine transfusions in 34 pregnant women with severe rhesus isoimmunization are presented. The survival rate is 56%. Factors influencing the fetal and neonatal mortality are considered, e.g. the gestational age at the initial intra-uterine transfusion, the presence of fetal hydrops, and the interval from the initial intra-uterine transfusion to delivery. The difficulties of the selection procedure are emphasized and it is stated that in some cases intra-uterine transfusion should perhaps not be performed because of a predictable poor fetal prognosis. The significance of accumulating experience is discussed.
D000328:Adult; D001663:Bilirubin / Q000032:analysis; D001805:Blood Transfusion, Intrauterine; D004899:Erythroblastosis, Fetal / Q000628:therapy*; D005260:Female; D005313:Fetal Death; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007743:Labor, Obstetric; D010298:Parity; D011247:Pregnancy
D006454:Hemoglobins; D001663:Bilirubin