Sonographic findings in severe fetomaternal transfusion

Sifakis, S; Koukoura, O; Konstantinidou, AE; Kikidi, K; Prezerakou, M; Kaminopetros, P

dc.contributor.author	Sifakis, S	en
dc.contributor.author	Koukoura, O	en
dc.contributor.author	Konstantinidou, AE	en
dc.contributor.author	Kikidi, K	en
dc.contributor.author	Prezerakou, M	en
dc.contributor.author	Kaminopetros, P	en
dc.date.accessioned	2014-03-01T02:00:39Z
dc.date.available	2014-03-01T02:00:39Z
dc.date.issued	2010	en
dc.identifier.issn	0932-0067	en
dc.identifier.uri	https://dspace.lib.ntua.gr/xmlui/handle/123456789/29123
dc.subject	Fetal anemia	en
dc.subject	Fetomaternal hemorrhage	en
dc.subject	Fetomaternal transfusion	en
dc.subject	Middle cerebral artery	en
dc.subject	Intrauterine intravascular transfusion	en
dc.subject	Periventricular echogenicity	en
dc.subject.classification	Obstetrics & Gynecology	en
dc.subject.other	CRANIAL ULTRASONOGRAPHIC FINDINGS	en
dc.subject.other	BLOOD-CELL ALLOIMMUNIZATION	en
dc.subject.other	FETAL ANEMIA	en
dc.subject.other	HEMORRHAGE	en
dc.subject.other	PREDICTION	en
dc.subject.other	MANAGEMENT	en
dc.subject.other	PREGNANCY	en
dc.subject.other	FETUSES	en
dc.title	Sonographic findings in severe fetomaternal transfusion	en
heal.type	journalArticle	en
heal.language	English	en
heal.publicationDate	2010	en
heal.abstract	Fetomaternal hemorrhage (FMH) or fetomaternal transfusion syndrome is the leakage of fetal red blood cells into the maternal circulation. Massive FMH can cause substantial fetal morbidity and mortality. Sonographic evidence of severe FMH syndrome includes fetal hydrops and other fetal anemia-related findings. The peak systolic velocity in the middle cerebral artery has extensively been used for the prediction of fetal anemia and for the timing of the first intrauterine intravascular transfusion (IIVT). We present a case of severe FMH syndrome that was diagnosed during the 24th week of pregnancy. A total of eight IIVT were performed. The actual increase in the fetal Hb after each transfusion was much lower than the expected. At 27 weeks of gestation, sonographic evaluation revealed areas of echogenicity around the posterior horns of the lateral ventricles suggesting ischemic damage. Due to these findings, no further IIVTs were offered and the fetus died a week later. The management of fetal anemia caused by severe FMH is difficult, and the anemic fetuses do not respond well to serial IIVTs as the transfer of blood to the maternal circulation continues.	en
heal.publisher	SPRINGER HEIDELBERG	en
heal.journalName	ARCHIVES OF GYNECOLOGY AND OBSTETRICS	en
dc.identifier.isi	ISI:000273081200010	en
dc.identifier.volume	281	en
dc.identifier.issue	2	en
dc.identifier.spage	241	en
dc.identifier.epage	245	en