title: [Use of peak systolic velocity in the middle cerebral artery after serial intravenous fetal exchange transfusions in the end of pregnancy].
abstract: OBJECTIVE
  Our aim was to assess the efficiency of the peak systolic velocity in the middle cerebral artery (PSV-MCA) to predict neonatal anemia at the end of pregnancies after serial intravenous fetal exchange transfusions (IFET) for red-cell fetomaternal immunization.
  
  
  METHODS
  We conducted a retrospective study from 01/01/2004 to 31/12/2009 of 25 pregnancies after IFET for red-cell fetomaternal immunization, in Saint Vincent de Paul Hospital, Paris. The study assessed correlation between the last prenatal PSV-MCA measured and hemoglobin concentration at birth and other neonatal data.
  
  
  RESULTS
  Last prenatal PSV-MCA and hemoglobin concentration at birth were significantly correlated (r=-0.39, P<0.01).
  
  
  CONCLUSIONS
  There is a good correlation between last PSV-MCA measured before birth and neonatal haemoglobin and complexity of neonatal care linked to anemia. Cerebral Doppler is useful for the follow-up of pregnancies at risk for anemia even in the end of the pregnancy and after serial intravenous fetal exchange transfusions.
authors.affiliation: Service de gynécologie obstétrique, hôpital Cochin Saint-Vincent-de-Paul, maternité de Port-Royal, 123, boulevard du Port-Royal, 75014 Paris, France. moni.hermann@gmail.com
authors.forename: M
authors.initials: M
authors.lastname: Hermann
authors.forename: M-H
authors.initials: MH
authors.lastname: Poissonnier
authors.forename: G
authors.initials: G
authors.lastname: Grangé
authors.forename: M
authors.initials: M
authors.lastname: Bernaux
authors.forename: M
authors.initials: M
authors.lastname: Lefèvre
authors.forename: V
authors.initials: V
authors.lastname: Tsatsaris
authors.forename: J
authors.initials: J
authors.lastname: Lepercq
mesh_terms: D000328:Adult; D000751:Anemia, Neonatal / Q000175:diagnosis* / Q000209:etiology; D001783:Blood Flow Velocity / Q000502:physiology*; D001805:Blood Transfusion, Intrauterine / Q000009:adverse effects; D005078:Exchange Transfusion, Whole Blood / Q000009:adverse effects; D005260:Female; D005331:Fetomaternal Transfusion / Q000150:complications; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007231:Infant, Newborn; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000502:physiology*; D010297:Paris; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000000981:diagnostic imaging; D012203:Rh Isoimmunization / Q000000981:diagnostic imaging; D016216:Ultrasonography, Prenatal / Q000379:methods
chemical_list: D006454:Hemoglobins