Icteric serum as an indicator of fetal vascular access during intravascular transfusion for hemolytic disease.
Correct needle placement during intravascular transfusion of the fetus may be difficult with an anterior placentation. Elevated bilirubin levels due to red cell hemolysis in the fetus of an alloimmunized pregnancy will result in icteric serum. The findings of such serum in centrifuged capillary tubes can be used to confirm fetal vascular access.
Moise
K J
KJ
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX 77030.
Kirshon
B
B
Carpenter
R J
RJ
Deter
R L
RL
D000328:Adult; D001663:Bilirubin / Q000097:blood*; D005078:Exchange Transfusion, Whole Blood / Q000379:methods*; D005260:Female; D005312:Fetal Blood / Q000032:analysis; D006801:Humans; D015160:Hydrops Fetalis / Q000097:blood / Q000628:therapy*; D007231:Infant, Newborn; D011247:Pregnancy
D001663:Bilirubin