[Massive fetomaternal hemorrhage and prevention of fetomaternal Rhesus incompatibility. The failure of our present system of prevention].
We had a case where risk of rhesus D feto-maternal immunisation occurred following failure to diagnose feto-maternal haemorrhage (HFM); and it was shown up by rhesus negative mother with a rhesus positive fetus being diagnosed as having has a massive HFM only three days after delivery. Giving the mother the standard dose of Anti-D immunoglobulin without a previous test to find out how serious the HFM was showed that we do not test for this normally. So it seems to us necessary when considering prophylaxis of rhesus D immunisation to go back to first principles and carry out Kleihauer's test particularly when neonatal anaemia is found in the child.
Quartier
P
P
Service de Néonatologie, Hôpital Louis-Mourier, Colombes.
Floch
C
C
Meier
F
F
Fruchart
M F
MF
Brossard
Y
Y
Lejeune
C
C
D000328:Adult; D001803:Blood Transfusion; D002985:Clinical Protocols; D004899:Erythroblastosis, Fetal / Q000097:blood / Q000209:etiology / Q000517:prevention & control* / Q000628:therapy; D005260:Female; D005331:Fetomaternal Transfusion / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D008403:Mass Screening / Q000379:methods*; D010789:Phototherapy; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D018029:Rho(D) Immune Globulin / Q000008:administration & dosage / Q000627:therapeutic use*; D012307:Risk Factors
D018029:Rho(D) Immune Globulin
Hémorragie foeto-maternelle massive et prévention de l'incompatibilité Rhésus foeto-maternelle. Une faille de l'organisation actuelle de la prévention.