PMID: 16640006Apr 28, 2006Paper

Severe anemia in a newborn due to massive fetomaternal hemorrhage: report of one case

Acta Paediatrica Taiwanica = Taiwan Er Ke Yi Xue Hui Za Zhi
Lo-Lin TsengChau-Shian Cheng

Abstract

We report a case of a newborn with unexpected severe anemia. A woman, at 38 5/7 weeks of gestational age, presented with decreased fetal movement. A sinusoidal fetal heartbeat waveform and late deceleration pattern on fetal monitoring strengthened the decision for emergent Cesarean section. Using the frequency of fetal movement and the fetal heart monitoring pattern, together with detecting fetal hemoglobin in maternal blood circulation by the Kleihauer-Betke test and hemoglobin electrophoresis, fetomaternal hemorrhage can be detected earlier and provide for better fetal outcomes.

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