Intravascular fetal blood transfusion under ultrasonic guidance in a case of severe Rh isoimmunization.
A severely Rh-affected fetus with an initial hematocrit value of 7% and a hemoglobin value of 2.3 g/dl was transfused three times by the intravascular route into the umbilical cord under ultrasonic guidance. After the second transfusion, fetal movements recurred and the non-stress test became reactive. Neonatal outcome was favorable. The implications of this procedure are discussed.
Westgren
M
M
Department of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Stangenberg
M
M
Sasidharan
P
P
Schifano
J
J
D000328:Adult; D001805:Blood Transfusion, Intrauterine / Q000379:methods*; D005260:Female; D006400:Hematocrit; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D012203:Rh Isoimmunization / Q000151:congenital / Q000628:therapy*; D014465:Ultrasonics