Life-threatening fetal anemia secondary to fetal-maternal hemorrhage. A case report.
Decreased fetal movement noted by the mother was the presentation of a severe fetal-maternal bleed. A nonstress test and oxytocin challenge test resulted in cesarean section. The infant, with Apgar scores of 7 and 8 at one and five minutes, respectively, was viable, and her initial hemoglobin was 4.9 and hematocrit, 14. A fetal-maternal bleed of approximately 350 ml was documented. This case demonstrates the importance of careful prenatal monitoring. We recommend looking for severe fetal-maternal hemorrhage as the cause of fresh stillbirth.
D000328:Adult; D000740:Anemia / Q000209:etiology*; D001775:Blood Circulation; D002585:Cesarean Section; D005260:Female; D005315:Fetal Diseases / Q000209:etiology*; D005323:Fetal Monitoring; D006470:Hemorrhage / Q000150:complications*; D006801:Humans; D008431:Maternal-Fetal Exchange; D011247:Pregnancy