Severe anemia in a newborn due to massive fetomaternal hemorrhage: report of one case.
We report a case of a newborn with unexpected severe anemia. A woman, at 38 5/7 weeks of gestational age, presented with decreased fetal movement. A sinusoidal fetal heartbeat waveform and late deceleration pattern on fetal monitoring strengthened the decision for emergent Cesarean section. Using the frequency of fetal movement and the fetal heart monitoring pattern, together with detecting fetal hemoglobin in maternal blood circulation by the Kleihauer-Betke test and hemoglobin electrophoresis, fetomaternal hemorrhage can be detected earlier and provide for better fetal outcomes.
Tseng
Lo-Lin
LL
Department of Pediatrics, Lo-Tung St. Mary's Hospital, I-Lan, Taiwan.
Didone
Antonio M
AM
Cheng
Chau-Shian
CS
D000328:Adult; D000740:Anemia / Q000209:etiology*; D005260:Female; D005323:Fetal Monitoring; D005324:Fetal Movement; D005331:Fetomaternal Transfusion / Q000150:complications*; D006340:Heart Rate, Fetal; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy