Email this article Difficulties in the diagnosis of feto-maternal bleeding in the antenatal period
- Authors: Ishchenko A.I.1, Murashko A.V.1, Seredina T.A.1, Minakova A.D.1
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Affiliations:
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- Issue: Vol 7, No 3 (2020)
- Pages: 165-168
- Section: Clinical observations
- URL: https://journals.rcsi.science/2313-8726/article/view/44845
- DOI: https://doi.org/10.17816/2313-8726-2020-7-3-165-168
- ID: 44845
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Abstract
Feto-maternal hemorrhage (FMH) is a rare, potentially dangerous event characterized by the passage of fetal blood into the maternal circulation, complicating pregnancy or childbirth. Diagnosis of this condition is based on objective signs: cardiotocography, fetal ultrasound, fetal Doppler, Kleihauer–Betke test (KB) and subjective: assessment of fetal movement activity. If a pregnant woman complains of decreased fetal movement, an experienced doctor should not forget to exclude this dangerous condition. Massive FMH is associated with high perinatal morbidity and fetal mortality.
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##article.viewOnOriginalSite##About the authors
Anatoliy I. Ishchenko
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: 7205502@mail.ru
ORCID iD: 0000-0003-3338-1113
MD, PhD, Professor
Russian Federation, MoscowAndrey V. Murashko
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Author for correspondence.
Email: murashkoa@mail.ru
ORCID iD: 0000-0003-0663-2909
SPIN-code: 2841-9638
MD, PhD, DSci., Professor, Head of the Department of pathology of pregnancy of the V.F. Snegirev Clinic of Obstetrics and Gynecology of the I.M. Sechenov First Moscow State Medical University, Moscow, prof. Department of Obstetrics and Gynecology No. 1 Institute of Clinical Medicine N.V. Sklifosovsky of the I.M. Sechenov First Moscow State Medical University
Russian Federation, MoscowTat’yana A. Seredina
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: vtrk@yandex.ru
MD, PhD
Russian Federation, MoscowAlena D. Minakova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: a.minackova2016@yandex.ru
Russian Federation, Moscow
References
- Stefanovic V. Fetomaternal hemorrhage complicated pregnancy: risks, identification, and management. Curr. Opin. Obstet. Gynecol. 2016;28:86-94.
- Devi B., Jennison R.F., Langley F.A. Significance of placental pathology in transplacental hemorrhage. J. Clin. Pathol.1966;21:322-31.
- Maier J.Th., Schalinski E., Schneider W., Gottschalk U., Hellmeyer L. Fetomaternal hemorrhage (FMH), an update: review of literature and an illustrative case. Arch. Gynecol. Obstetrics. 2015;292:595-602. doi: 10.1007/s00404-015-3686-1
- Bowman J.M., Pollock J.M., Penston L.E. Fetomaternal transplacental hemorrhage during pregnancy and after delivery. Vox Sang. 1986; 51:117-21.
- Sebring E.S., Polesky H.F. Fetomaternal hemorrhage: incidence, risk factors, time of occurrence, and clinical effects. Transfusion. 1990; 30:344-57.
- Giacoia G.P. Severe fetomaternal hemorrhage: a review. Obstet. Gynecol. Survey. 1997;52(6):372-80.
- Bakas P., Liapis A., Giner M., Paterakis G., Creatsas G. Massive fetomaternal hemorrhage and oxytocin contra ction test: Case report and review. Arch. Gynecol. Obstet. 2004;269(2):149-51. doi: 10.1007/s00404-002-0431-3
- Sueters M., Arabin B., Oepkes D. Doppler sonography for predicting fetal anemia caused by massive fetomaternal hemorrhage. Ultras. Obstet. Gynecol. 2003;22(2):186-9. doi: 10.1002/uog.190
- Gibb D., Arulkumaran S., eds. Basics of cardiotocography. Theoretical and clinical aspects.[Osnovy kardiotokografii. Teoreticheskiye i klinicheskiye aspekty]. Transl. from Engl. I.N. Popova; ed. by L.S. Aleksandrov, A.V. Murashko. Logosfera; 2019. (In Russ.)
- Kim Y.A., Makar R.S. Detection of fetomaternal hemorrhage. Am. J. Hematol. 2012;87(4):417-23.
- Sueters M., Arabin B., Oepkes D. Doppler sonography for predicting fetal anemia caused by massive fetomaternal hemorrhage. Ultras. Obstet. Gynecol. 2003;22:186-9.
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