A Case of Severe, Silent Fetomaternal Haemorrhage (FMH) Detected by Mixed-Field in the Mother’s ABO Typing
Journal: Journal of Gynecological Research and Obstetrics (Vol.2, No. 1)Publication Date: 2016-12-21
Authors : Aurora Espinosa Kristin Finserås Grete Storvold Tone Wedø Kristin Fonn Seema Mathew Eline B Seljeflot; Eszter Vanky;
Page : 061-062
Keywords : Fetomaternal haemorrhage; Mixed-field; Fetus; Anaemia; Blood typing;
Abstract
Introduction: Fetomaternal haemorrhage (FMH) refers to the passage of fetal erythrocytes to the maternal circulation. In most pregnancies, small amounts of fetal erythrocytes can cross over to the maternal circulation without causing problems for the fetus. In rare occasions, the FMH can result in fetal anaemia or in fetal death.
Case report: Here, we present a case where a 30-year-old, II gravida, I para, in gestational week 35 reported decreased fetal movements, leading to the diagnosis of severe FMH. The fetal haemorrhage calculated by Kleihauer-Betke test was estimated to 287 mL, causing a mixed-field in the mother's ABO typing, as the mother and the baby had different blood types. Fetal anaemia was suspected and diagnosed by Doppler ultrasound, and emergency caesarean section was performed, saving the baby's life.
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