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FOETAL TRANSFUSION AND NEONATAL DIALYSIS
Author(s) -
LEWIS C. J.,
STEVENS L. H.
Publication year - 1969
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1969.tb02751.x
Subject(s) - medicine , peritoneal dialysis , exchange transfusion , respiratory distress , dialysis , gestation , caesarean section , fetal distress , fetus , obstetrics , pregnancy , pediatrics , surgery , biology , genetics
SYNOPSIS Knowledge of the place and the hazards of intra‐uterine transfusion in the severely erythroblastotic foetus, and of the management after delivery, is steadily growing. This procedure was undertaken in an infant who was subsequently delivered at 34 weeks' gestation by emergency Caesarean section following the development of foetal distress. Respiratory distress developed soon after birth and he remained anuric during the 12 days that he survived. An exchange transfusion to ‘wash out’ maternal antibody, and a peritoneal dialysis to combat severe hyperkalaemia were undertaken at the age of 3 hours and 4 days respectively. At post‐mortem, the kidneys were found to be nonviable. The early post‐natal events were monitored by observations of the electrolytes and the acid‐base balance; the fluids used in dialysis and the dialysates were also analysed. These observations are reported and their implications are discussed.