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Massive fetomaternal hemorrhage and oxytocin contraction test: case report and review

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Abstract.

We present a case of a nulliparous woman who underwent oxytocin contraction test because of abnormal cardiotocograph. She delivered a severely anemic neonate due to severe fetomaternal hemorrhage. Fetal ultrasonography and Doppler studies of the umbilical arteries may not be helpful, while its worthy to perform flow cytometry for detection of fetal cells in maternal circulation when there is strong clinical suspicion. Management of massive fetomaternal hemorrhage requires immediate delivery by Caesarian section if the gestational age is suitable. Alternatively, for very premature fetuses could be used serial fetal intravascular transfusions if there are the necessary facilities and experienced personnel.

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References

  1. Bowman JM, Pollock JM, Penston LE (1985) Fetomaternal transplacental hemorrhage during pregnancy and after delivery. Vox Sang 51:117–121

    Article  Google Scholar 

  2. Dayal AK, Manning FA, Berck DJ, Mussali GM, Avila C, Harman CR, Menticoglou S (2000) Fetal death after normal biophysical profile score: an eighteen year experience. Am J Obstet Gynecol 183:783

    Article  Google Scholar 

  3. Elliot JP (1991) Massive fetomaternal hemorrhage treated by fetal intravascular transfusion. Obstet Gynecol 78:520–523

    Google Scholar 

  4. Fong EA, Davies Ji, Grey DE, Reid PJ, Erber WN (2000) Detection of massive fetomaternal hemorrhage by flow cytometry. Clin Lab Hematol 22:325–327

  5. Glasser L, West JH, Hagood RM (1970) Incompatible fetomaternal transfusion with maternal intravascular lysis. Transfusion 10:322–325

    Article  CAS  PubMed  Google Scholar 

  6. Gomez-Arbon S, Pinacho A, Ortiz P, Maci j, Gallart M, Aragus C, Sanchez JM, Teixid M (2002) Quantification of fetomaternal hemorrhage. An analysis of two cytometric techniques and a semi quantitative gel agglutination test. Clin Lab Hematol 24:47–53

  7. Krampl E, Chalubinski K, Schatten C, Husslein P (2001) Does acute hypoxia causes fetal arterial blood flow redistribution? Ultrasound Obstet Gynecol 18:175–177

    Article  CAS  PubMed  Google Scholar 

  8. Laml T, Egermann R, Lapin A, Zekert M, Wagenbichler P (2001) Fetomaternal hemorrhage after a car accident: a case report. Acta Obstet Gynecol Scand 80:480

    Article  CAS  PubMed  Google Scholar 

  9. Laube DW, Schauberger CW (1982) Fetomaternal bleeding as a cause for unexplained fetal death. Obstet Gynecol 60:649–651

    CAS  PubMed  Google Scholar 

  10. Murphy KW, Venkatraman N, Stevens J (2000) Limitations of ultrasound in the diagnosis of fetomaternal hemorrhage.Br J Obstet Gynecol 107:1311–1319

    Article  Google Scholar 

  11. Ravid D, Gidoni Y, Bruchin I, Shapira H, Fejgin MD (2001) Postpartum chills phenomenon: is it a fetomaternal transfusion reaction? Acta Obstet Gynecol Scand 80:149–151

    Article  CAS  PubMed  Google Scholar 

  12. Rouse D, Weiner C (1990) Ongoing fetomaternal hemorrhage treated by serial intravascular transfusions. Obstet Gynecol 76:974–975

    CAS  PubMed  Google Scholar 

  13. Samadi R, Greenspoon JS, Gviazda I, Settlage RH, Goodwin TM (1999) Massive fetomaternal hemorrhage and fetal death. Are they predictable? J Perinatol 19:227–229

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. 2nd Department of Obstetrics and Gynecology, University of Athens, Aretaieio Hospital, Alexandras Avenue 108, 11522, Greece

    Panagiotis Bakas, Angelos Liapis, Maria Giner & Georgios Creatsas

  2. Histocompatibility Laboratory of G. Kratiko Hospital, Athens, Greece, Athens, Greece

    Georgios Paterakis

Authors
  1. Panagiotis Bakas
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  2. Angelos Liapis
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  3. Maria Giner
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  4. Georgios Paterakis
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  5. Georgios Creatsas
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Correspondence to Panagiotis Bakas.

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Bakas, P., Liapis, A., Giner, M. et al. Massive fetomaternal hemorrhage and oxytocin contraction test: case report and review. Arch Gynecol Obstet 269, 149–151 (2004). https://doi.org/10.1007/s00404-002-0431-3

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  • DOI: https://doi.org/10.1007/s00404-002-0431-3

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