Hydrops fetalis-trends in associated diagnoses and mortality from 1997-2018.

Objectives: To describe and evaluate trends in the etiology and mortality risk in neonates admitted for neonatal intensive care with hydrops fetalis.

Study Design: A retrospective review of de-identified patient data in the Pediatrix Clinical Data Warehouse from 1997 to 2018.

Results: We identified 2144 infants diagnosed with hydrops fetalis.

Case report of massive fetomaternal hemorrhage and a guideline for acute neonatal management.

Massive fetomaternal hemorrhage resulting in profound anemia and shock is associated with high perinatal morbidity and mortality. Although diagnosis before delivery is difficult, the clinical index of suspicion rises when a woman presents with history of decreased or absent fetal movements and antenatal monitoring shows a sinusoidal rhythm strip. The diagnosis can be made quickly by demonstration of fetal red blood cells in the maternal circulation and there is consistent recommendation in the literature to immediately order a Kleihauer-Betke test.