Acute Rh isoimmunization following abdominal trauma associated with late abruption placenta.
Acute exacerbation of Rh isoimmunization following abdominal trauma is a rare complication of pregnancy. The report describes a case of a mild case of erythroblastosis fetalis following maternal exposure to massive fetal-maternal transfusion, occurring after abdominal injury in motoring accident. Abruptio placenta 7 days following the trauma indicated emergency cesarean section, at which a severely affected fetus (erythroblastosis fetalis) was delivered. Late abruption--in the presence of no other risk factor--is considered to call for prolonged surveillance. Any abdominal trauma in a Rh-negative woman should alert one to the possibility of massive transplacental hemorrhage and augmentation of the maternal immune response.
Fisher
M
M
Department of Obstetrics & Gynecology, Kanev Health Center, Kiriat Shemona, Israel.
D000007:Abdominal Injuries / Q000150:complications*; D000037:Abruptio Placentae / Q000209:etiology*; D000063:Accidents, Traffic; D000328:Adult; D002585:Cesarean Section; D004630:Emergencies; D004899:Erythroblastosis, Fetal / Q000209:etiology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D012203:Rh Isoimmunization / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000150:complications*