Large fetomaternal hemorrhage: clinical presentation and outcome.
OBJECTIVE
To evaluate the incidence and outcome of all neonates with demonstrated fetomaternal hemorrhages > or = 20 ml and to assess possible predictors of large fetomaternal hemorrhage and outcome.


METHODS
Retrospective data analysis 1987-2000. Clinical data included antenatal events, method of delivery, condition at birth, hematology results, treatment and outcome.


RESULTS
Sixteen infants were identified and treated for fetomaternal hemorrhage. Adverse outcome occurred in five infants (31%). Outcome was predicted by postnatal presentation and initial hemoglobin.


CONCLUSIONS
Adverse outcome amongst neonates with large fetomaternal hemorrhage is high. Outcome is better predicted by initial hemoglobin than volume of hemorrhage as per the Kleihauer test.
Kecskes
Z
Z
Grantley Stable Neonatal Unit, Royal Women's Hospital, Herston, Australia.
D000328:Adult; D017707:Erythrocyte Transfusion; D005260:Female; D005324:Fetal Movement; D005331:Fetomaternal Transfusion / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology* / Q000628:therapy; D005544:Forecasting; D006403:Hematologic Tests; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome
D006454:Hemoglobins