PMID: 2511045Nov 1, 1989Paper

Intra-uterine exchange transfusion under ultrasound guidance

European Journal of Obstetrics, Gynecology, and Reproductive Biology
D LémeryB Jacquetin

Abstract

Thirty intra-uterine exchange transfusions (I.U.E.T.) under ultrasound guidance were performed on 15 pregnancies in 14 severely Rh-sensitized women. Our technique and a new method of catheterization of the umbilical cord are described. I.U.E.T. were commenced at 19-34 gestational weeks and repeated up to 5 times at 15 to 60 days intervals. The lowest pretransfusion fetal hemoglobin was 3 milligrams at 25 weeks. All the hydrops (4 cases) reversed a few days after the first procedure. The survival rate is 50% for hydropic fetuses and 66.6% for all cases. This technique avoids fetal hypervolemia and also too repetitive procedures by quick renewal of red cells. Catheterization offers a simple and safe access to the umbilical vein even with important fetal movements.

References

Apr 1, 1976·Journal of Clinical Ultrasound : JCU·J C HobbinsJ Webster
Jul 1, 1987·American Journal of Obstetrics and Gynecology·K H NicolaidesC H Rodeck
Nov 15, 1984·American Journal of Obstetrics and Gynecology·C H RodeckJ R Kemp

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Citations

Jul 1, 1996·Obstetrics and Gynecology·B Schumacher, K J Moise
Jun 1, 1992·Early Human Development·J W Dudenhausen

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