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Case Report
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Korean J Obstet Gynecol. 2001;44(12):2339-2343. Published online December 1, 2001.
- A Case of Fetal Erythroblastosis Treated by Repeated Intraumbilical Venous Transfusions.
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Yong Soon Kwon, Hye Sung Won, So Ra Kim, Ji Youn Chung, Pil Ryang Lee, In Sik Lee, Ahm Kim
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Department of Obstetrics and Gynecology, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea.
- Abstract
- Fetal erythroblastosis caused by maternal Rhesus alloimmunization brings a significant clinical problem, eventually leading to fetal hydrops and intrauterine fetal death. Repeated blood transfusions into the umbilical vein are the treatment of choice for fetal erythroblastosis with severe hydrops. The purpose of this report is to introduce our experience with a case of fetal erythroblastosis, recovered after intraumbilical venous transfusions. The fetus has been received the intraumbilical venous transfusions for four times from 29 weeks of gestation. Fetal hydrops and cardiomegaly, as well as polyhydramnios were improved markedly after transfusions. A healthy baby was delivered at 34 weeks of gestation. Intraumbilical venous transfusion may be a safe and effective treatment on the case with severe aggressive anemic and hydropic isoimmune fetus.
Keywords :intraumbilical venous transfusion;fetal erythroblastosis;immune hydrops;fetal therapy
