title: [Intrauterine blood transfusions in the treatment of severe serologic conflict].
abstract: Efficacy of the intraperitoneal and intravenous blood transfusions guided ultrasonographically was evaluated in severe cases of fetal hemolytic disease due to Rh conflict. It was shown, that survival rate of fetuses without generalized edema is two-fold higher in the group treated with intraperitoneal blood transfusions in comparison with the control group. It was found, that the proportion of erythrocytes containing HbA in umbilical blood of newborn is related to the number of intraperitoneal transfusions. One has to underline the failure of such a treatment in features with generalized edema. In such case intravenous blood transfusion is a method of choice.
authors.affiliation: II Kliniki Połoznictwa i Ginekologii II Wydziału Lekarskiego AM, Warszawie.
authors.forename: L
authors.initials: L
authors.lastname: Marianowski
authors.forename: E
authors.initials: E
authors.lastname: Lukaszewicz
authors.forename: R
authors.initials: R
authors.lastname: Debski
authors.forename: W
authors.initials: W
authors.lastname: Latoszewska-Smółko
authors.forename: B
authors.initials: B
authors.lastname: Lenkiewicz
authors.forename: K
authors.initials: K
authors.lastname: Falecka
authors.forename: J
authors.initials: J
authors.lastname: Gromadzki
mesh_terms: D001805:Blood Transfusion, Intrauterine; D004899:Erythroblastosis, Fetal / Q000401:mortality*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D012203:Rh Isoimmunization / Q000628:therapy*; D015996:Survival Rate
vernacular_title: Transfuzje wewnatrzmaciczne w leczeniu ciezkich postaci konfliktu serologicznego.