title: Transient alteration in fetal biophysical profile immediately following fetomaternal hemorrhage sustained during motor vehicle accident.
abstract: Transient altered fetal behavior manifested by decreased fetal biophysical score at 37 weeks' gestation following maternal injuries sustained in a motor vehicle accident, represented an immediate fetal response to fetomaternal hemorrhage occurring during the accident. Although cesarean delivery had initially been considered due to fetal distress (fetal biophysical score of 4 of 10), the fetal biophysical score improved within 2 hr, permitting spontaneous vaginal delivery of a nonasphyxiated fetus, 24 hr after the traumatic event. To our knowledge this is the first report of a transient abnormal fetal biophysical profile in association with a large fetomaternal hemorrhage.
authors.affiliation: Department of Obstetrics & Gynecology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
authors.forename: D M
authors.initials: DM
authors.lastname: Sherer
authors.forename: H A
authors.initials: HA
authors.lastname: Winkler
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D005260:Female; D005316:Fetal Distress / Q000209:etiology / Q000503:physiopathology*; D005328:Fetal Viability; D005331:Fetomaternal Transfusion / Q000150:complications / Q000503:physiopathology*; D005333:Fetus / Q000503:physiopathology*; D005865:Gestational Age; D006340:Heart Rate, Fetal / Q000502:physiology; D006801:Humans; D009104:Multiple Trauma / Q000150:complications / Q000503:physiopathology*; D011247:Pregnancy; D016216:Ultrasonography, Prenatal