Severe neonatal anemia possibly caused by spontaneous cephalic version, with excellent outcome — a case report

Franckx, Johan; Sacré-Smits, L.

doi:10.1515/jpme.1984.12.3.147

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Moreover, there were no signs of placental abruption (80). Another case was associated with a placenta on the anterior wall and the use of nitric‐oxide inhalation anesthesia (81) and there are also reports of fetomaternal macrotransfusion after spontaneous version (82,83).…”

Section: Commentmentioning

confidence: 99%

External cephalic version: a safe procedure? A systematic review of version‐related risks

Collaris

Oei

2004

Acta Obstet Gynecol Scand

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Section: Commentmentioning

confidence: 99%

External cephalic version: a safe procedure? A systematic review of version‐related risks

Collaris

Oei

2004

Acta Obstet Gynecol Scand

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“…Luyet et al [13] reported a case of fetal loss as a result of massive fetomaternal transfusion during ECV. There has been an interesting report by Franckx and Sacre-Smits [14] of severe neonatal anaemia possibly following spontaneous cephalic version of a breech presentation. In most of the above cases fetal compromise was suspected before birth because of an abnormal CTG or reduced fetal movements.…”

Section: Discussionmentioning

confidence: 99%

Massive Feto-Maternal Haemorrhage with Good Perinatal Outcome following Failed External Cephalic Version

Shankar¹,

Gough²,

Chakravarti³

et al. 2003

Fetal Diagn Ther

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Objective: To reinforce the risk of feto-maternal haemorrhage associated with external cephalic version for breech presentation. Method: A single case report with a literature review. Results: Our case report was associated with the largest feto-maternal haemorrhage following external cephalic version reported so far. The perinatal outcome in this case was favourable despite a significant amount of fetal haemorrhage. The literature review did include cases with unfavourable outcomes. No reliable method of monitoring fetuses with feto-maternal haemorrhage has been reported, although middle cerebral artery Doppler studies appear to show promise. Conclusion: External cephalic version is useful in the management of breech presentations at term, but it is not without risks and clinicians need to be aware of this.

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Severe Fetomaternal Hemorrhage

Giacoia

1997

Obstetrical & Gynecological Survey

161

109

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The etiology, clinical presentation, obstetrical antecedents, and outcome of pregnancies complicated by large fetomaternal hemorrhage (FMH) were reviewed by doing a MEDLINE search from 1966 to the present and manual search before 1966. One hundred thirty-four infants with FMH > 50 dl were reported in the literature. The primary variables: birth weight, gestational age, presence of sinusoidal fetal heart rate pattern, decrease or absent fetal body movements (FBM) estimated the amount of fetomaternal bleeding and the pretransfusion hemoglobin. Other variables included the condition of the infants at birth, erythroblasts, and reticulocyte blood counts at birth, as well as the year of publication. Thirty-five of the 134 cases were preterm. Twenty infants born to mothers reporting decreased or absent FBM survived. FBM was absent in 17 cases for a period ranging between 24 hours and 7 days. In this group, six infants survived, five were stillborn, and five died in the neonatal period. A sinusoidal heart rate (SHR) pattern was reported in 21 cases. A SHR pattern was associated with decreased FBM in 13 cases (39.3 percent). Fifteen cases with sinusoidal fetal heart rate pattern survived (71.4 percent). Both decreased or absent FBM and SHR patterns were reported more often in 1990 or later than before 1990 (P < .0017 and P < .008, respectively). The cause of FMH was not known in 82 percent of the cases. The most common presenting symptoms of FMH were anemia at birth (35.2 percent), decreased or absent FBM (26.8 percent), and unexpected stillbirths (12.5 percent). Seventeen intrauterine transfusions were performed in nine cases (eight survived). A negative correlation was found between pretransfusion hemoglobin and FMH (r = -0.35; P = .0019). No significant difference was found between the cases with FMH of > 200 ml or < 200 ml. Thus, decreased or absent FBM, SHR pattern, or hydrops fetalis are late signs of FMH. Other means of early detection are needed. The role of intrauterine transfusion (IUT) needs to be better defined. The inadequate outcome data indicate the need to follow infants born with large FMH into childhood to document the effect on the central nervous system.

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Severe neonatal anemia possibly caused by spontaneous cephalic version, with excellent outcome — a case report

Cited by 3 publications

References 14 publications

External cephalic version: a safe procedure? A systematic review of version‐related risks

External cephalic version: a safe procedure? A systematic review of version‐related risks

Massive Feto-Maternal Haemorrhage with Good Perinatal Outcome following Failed External Cephalic Version

Severe Fetomaternal Hemorrhage

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