A case of maternal reaction due to fetomaternal transfusion.
We present here a case of maternal reaction to fetomaternal transfusion complicated by subchorionic hemorrhage. A 40-year-old woman, gravida 2, para 0, was admitted to our hospital at 25 weeks' gestation because of high blood pressure. On the morning of 32 weeks and 2 days' gestation, she developed sudden onset nausea, dyspnea and regular uterine contractions. Blood pressure was 80/50 mmHg and pulse was 110 beats/minute. At this time, her WBC, hemoglobin and platelets were decreased significantly. Two hours after onset, the patient's condition improved spontaneously. Increased serum alpha-fetoprotein level (3.0 multiple of median) was observed. She was suggested to be a case of acute fetomaternal transfusion.
Department of Obstetrics and Gynecology, Tokyo Rinkai Hospital, Japan. czg83542@mopera.ne.jp
Shunji
S
Suzuki
Toyohiko
T
Kuwajima
Tomoaki
T
Murata
Tsutomu
T
Araki
D000328:Adult; D005260:Female; D005331:Fetomaternal Transfusion; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*