Monoamniotic Twin Pregnancy Complicated by Massive Fetal‐Maternal Haemorrhage

Verco, C. J.; Jones, Warren R.

doi:10.1111/j.1479-828x.1981.tb00917.x

Cited by 12 publications

(6 citation statements)

References 8 publications

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“…Only two reports have been identified 19,20) as known; hence, FMH occurrence in very low birth weight monochorionic diamniotic twin pregnancy is quite rare and may be the first case in Korea.…”

Section: Discussionmentioning

confidence: 99%

Acute Fetomaternal Hemorrhage Confirmed by Maternal Alfa-Fetoprotein in Monochorionic Diamniotic Neonates under 1,500 g

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Acute Fetomaternal Hemorrhage Confirmed by Maternal Alfa-Fetoprotein in Monochorionic Diamniotic Neonates under 1,500 g

et al. 2020

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“…A number of obstetrical events have been associated with FMH including external cephalic version, amniocentesis, abdominal trauma, placental abruption, placental tumors, and manual removal of the placenta [11–21]. Often, however, FMH occurs without a precipitating factor.…”

Section: Discussionmentioning

confidence: 99%

Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage

Singh

Swanson

2014

Case Reports in Obstetrics and Gynecology

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Introduction. Fetomaternal hemorrhage represents a transfer of fetal blood to the maternal circulation. Although many etiologies have been described, most causes of fetomaternal hemorrhage remain unidentified. The differentiation between acute and chronic fetomaternal hemorrhage may be accomplished antenatally and may influence perinatal management. Case. A 36-year-old gravida 6 para 3 presented at 37 and 5/7 completed gestational weeks with ultrasound findings suggestive of chronic fetal anemia such as right ventricular enlargement, diminished cerebral vascular resistance, and elevated middle cerebral artery end-diastolic velocity. On the other hand, signs of acute fetal decompensation such as deterioration of the fetal heart tracing, diminished biophysical score, decreased cord pH, and increased cord base deficit were noted. Following delivery, the neonate's initial hemoglobin was 4.0 g/dL and the maternal KB ratio was 0.015 indicative of a significant fetomaternal hemorrhage. Discussion. One should consider FMH as part of the differential diagnosis for fetal or immediate neonatal anemia. We describe a unique case of FMH that demonstrated both acute and chronic clinical features. It is our hope that this case will assist practitioners in differentiating acute FMH that may require emergent delivery from chronic FMH which may be able to be expectantly managed.

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“…6 It has also been linked to various obstetric procedures such as external cephalic version, 26 manual removal of a retained placenta, 27 or amniocentesis. 6,28,29 Placental anomalies such as tumors or chorioangiomas, 6,30,31 abruption, 32 and monochorionic-monoamnionic twins 33 have also been identified as causes of abruption. However, 82% of cases arise spontaneously, with no identifiable history of an inciting event.…”

Section: Discussionmentioning

confidence: 99%

Fetal-Maternal Hemorrhage: A Case and Literature Review

Solomonia

Playforth

Reynolds³

2011

Am J Perinatol Rep

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Nearly all pregnancies include an insignificant hemorrhage of fetal blood into the maternal circulation. In some cases, the hemorrhage is large enough to compromise the fetus, resulting in fetal demise, stillbirth, or delivery of a severely anemic infant. Unfortunately, the symptoms of a significant fetal-maternal hemorrhage can be subtle, nonspecific, and difficult to identify at the time of the event. We present the case of a severely anemic newborn who was delivered in our facility with an extensive literature review.

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Monoamniotic Twin Pregnancy Complicated by Massive Fetal‐Maternal Haemorrhage

Cited by 12 publications

References 8 publications

Acute Fetomaternal Hemorrhage Confirmed by Maternal Alfa-Fetoprotein in Monochorionic Diamniotic Neonates under 1,500 g

Acute Fetomaternal Hemorrhage Confirmed by Maternal Alfa-Fetoprotein in Monochorionic Diamniotic Neonates under 1,500 g

Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage

Fetal-Maternal Hemorrhage: A Case and Literature Review

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