Premium
Perinatal outcome following intravascular transfusion in severely isoimmunized fetuses
Author(s) -
Ney J.A,
Socol M.L,
Dooley S.L,
MacGregor S.N,
Silver R.K,
Millard D.D
Publication year - 1991
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(91)90061-9
Subject(s) - medicine , gestation , hematocrit , hydrops fetalis , fetus , gestational age , obstetrics , pregnancy , genetics , biology
Twenty‐six severely isoimmunized pregnancies managed exclusively with ultrasonographically guided intravascular fetal transfusions are reported. The mean gestational age plus and minus one standard deviationy (±SD) was 26.3 ± 3.6 weeks and the mean hematocrit (±SD) prior to initial transfusion was 20.6 ± 6.7%. Four of seven hydropic fetuses and 9 of 19 without hydrops were ≤ 26 weeks gestation at the first transfusion. Overall survival was 85% (22/26). Survival was similar whether or not fetal hydrops was present (6/7 vs. 16/19) and whether or not the first transfusion was administered at ≤26 weeks gestation (10/13 vs. 12/13).