title: Intravascular fetal blood transfusion under ultrasonic guidance in a case of severe Rh isoimmunization.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
authors.forename: M
authors.initials: M
authors.lastname: Westgren
authors.forename: M
authors.initials: M
authors.lastname: Stangenberg
authors.forename: P
authors.initials: P
authors.lastname: Sasidharan
authors.forename: J
authors.initials: J
authors.lastname: Schifano
mesh_terms: 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