Chronic massive fetomaternal hemorrhage: a case report.
We report a case of massive chronic fetomaternal hemorrhage with remarkable fetal compensation. The labor course was complicated by a fetal heart rate pattern showing decreased long- and short-term variability and the eventual development of persistent late decelerations. The fetal scalp blood pH and cord blood pH values were normal. A living male infant was delivered by cesarean section for persistent late decelerations. A Kleihauer-Betke stain on a maternal blood sample was positive at 14.5%, which is equivalent to 700 mL of fetal blood in the maternal circulation.
Willis
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Department of Obstetrics and Gynecology, Truman Medical Center, University of Missouri-Kansas City School of Medicine.
Foreman
C S
CS
D000328:Adult; D002585:Cesarean Section; D005260:Female; D005312:Fetal Blood / Q000032:analysis; D005315:Fetal Diseases / Q000503:physiopathology*; D005318:Fetal Heart / Q000502:physiology*; D005331:Fetomaternal Transfusion / Q000503:physiopathology*; D006340:Heart Rate, Fetal; D006801:Humans; D006863:Hydrogen-Ion Concentration; D011247:Pregnancy