AI Article Synopsis
- A case was reported where abnormal cardiac monitoring (CTG) and high blood flow in the fetus were found unexpectedly during a normal pregnancy.
- The cause was identified as significant fetomaternal hemorrhage (FMH), leading to testing that revealed severe anemia in the fetus.
- The situation required multiple blood tests, intrauterine transfusions, and ultimately a preterm delivery, but the infant was healthy in later follow-up checks.
Article Abstract
We present a case with an incidental finding of abnormal cardiotocography (CTG) pattern as well as elevated middle cerebral artery peak systolic velocity (MCA-PSV) in an otherwise inconspicuous pregnancy. Massive fetomaternal hemorrhage (FMH) was detected as the cause by flow cytometry (FC), resulting in multiple cycles of fetal blood sampling (FBS) showing severe anemia, intrauterine transfusions (IUTs), a preterm delivery, and a healthy infant in follow-up examinations.
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Article Synopsis
- A case was reported where abnormal cardiac monitoring (CTG) and high blood flow in the fetus were found unexpectedly during a normal pregnancy.
- The cause was identified as significant fetomaternal hemorrhage (FMH), leading to testing that revealed severe anemia in the fetus.
- The situation required multiple blood tests, intrauterine transfusions, and ultimately a preterm delivery, but the infant was healthy in later follow-up checks.
Massive fetomaternal haemorrhage warranting novel use of tandem isovolumetric partial exchange transfusion and therapeutic hypothermia.
BMJ Case Rep
December 2023
Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, Maryland, USA
A newborn male infant was pale, hypotonic, and had respiratory distress after delivery. Venous cord blood gas revealed a severe metabolic acidosis. His initial examination was consistent with moderate encephalopathy and laboratory testing uncovered severe congenital anaemia (haematocrit 0.
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