[Severe neonatal anemia associated with fetomaternal transfusion and persistent fetal circulation].
A newborn infant with massive fetomaternal hemorrhage is reported. The fetal blood loss led to severe late decelerations in the antepartal CTG. The newborn showed a marked anemia (Hb 4.9 g%!) and a rapidly progressive heart failure. Despite blood transfusions and digoxin therapy the infant developed the symptoms of a "persistent fetal circulation". This mechanism may have been responsible for the lethal outcome in other reported cases. A successful therapeutic approach adaptable to the different stages of severity of this dangerous perinatal condition is outlined.
D000208:Acute Disease; D000328:Adult; D000751:Anemia, Neonatal / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005331:Fetomaternal Transfusion / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010547:Persistent Fetal Circulation Syndrome / Q000150:complications*; D011247:Pregnancy
Schwere neonatale Anämie bei fetomaterneller Transfusion mit persistierendem fetalem Kreislauf.