title: [Usefulness of intraperitoneal transfusion under direct ultrasound guidance].
abstract: Experience with intraperitoneal blood transfusion, using ultrasonographic guide, in 24 patients with severe isoimmunization to Rh factor, is reported. A total of 57 procedures, were done from 24 weeks of gestation. In 66.6% two or more transfusions were done in the same product. There were 71% of alive newborns and in 29% of the cases it was not possible to improve perinatal survival. The analysis of these results were correlated with antecedents: presence of hydrops, gestational age at the time of resolving pregnancy, and main disease status. The usefulness of intraperitoneal transfusion, is commented upon, and new perspectives, as intravascular transfusion in cases with severe hydrops, are considered.
authors.affiliation: Departamento de Cardiotocografía, Instituto Nacional de PerinatologíaMéxico, D.F.
authors.forename: E
authors.initials: E
authors.lastname: De la Luna y Olsen
authors.forename: L E
authors.initials: LE
authors.lastname: Amézcua Llauger
authors.forename: M T
authors.initials: MT
authors.lastname: Leis Marquez
authors.forename: V
authors.initials: V
authors.lastname: Sánchez Solis
mesh_terms: D001805:Blood Transfusion, Intrauterine / Q000009:adverse effects / Q000379:methods*; D004899:Erythroblastosis, Fetal / Q000150:complications / Q000628:therapy*; D005069:Evaluation Studies as Topic; D005260:Female; D005313:Fetal Death / Q000209:etiology; D005865:Gestational Age; D006801:Humans; D015160:Hydrops Fetalis / Q000209:etiology / Q000628:therapy; D007231:Infant, Newborn; D007263:Infusions, Parenteral; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic; D012203:Rh Isoimmunization; D016216:Ultrasonography, Prenatal
vernacular_title: Utilidad de la transfusión intraperitoneal bajo guía ultrasonográfica directa.