Rh disease: intrauterine intravascular fetal blood transfusion by cordocentesis.
A total of 49 cordocenteses, including 40 intrauterine intravascular fetal blood tranasfusions, were performed in 30 pregnancies complicated by red cell isoimmunization. Transfusions were started at 19-33 weeks' gestation and repeated up to five times, at one-to-four week intervals. The volumes of transfused blood were 20-110 ml, hematocrits were 58-82 percent and the rate of transfusions was 1-15 ml/min. The pretransfusion fetal hemoglobins were 3.5-11.6 g/dl and the posttransfusion fetal hemoglobins were 7.5-15.6 g/dl. There were three intrauterine deaths and two neonatal deaths. The overall survival rate was 83.3 percent including all cordocenteses. The survival rate for the intrauterine transfusions was 81 percent.
Onderoğlu
L
L
Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, Ankara.
Oncüloğlu
C
C
D001805:Blood Transfusion, Intrauterine / Q000379:methods* / Q000401:mortality; D017218:Cordocentesis / Q000379:methods*; D004899:Erythroblastosis, Fetal / Q000097:blood / Q000401:mortality / Q000628:therapy*; D005260:Female; D006400:Hematocrit; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D016019:Survival Analysis; D015996:Survival Rate; D016896:Treatment Outcome
D006454:Hemoglobins