Open AccessIntra‐Uterine Transfusion in the Management of Pregnant Women with Severe Rhesus Isoimmunization
Author(s) -
Bock Johannes E.
Publication year - 1976
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016347609156441
Subject(s) - medicine , amniotic fluid , obstetrics , rh isoimmunization , blood transfusion , fetus , pregnancy , obstetric history , gynecology , gestation , surgery , genetics , biology
. Intra‐uterine transfusion may be a life‐saving procedure in severe cases of rhesus isoimmunization. Yet it may be technically difficult and poses a real hazard to the fetus. This material consists of 51 intra‐uterine transfusions performed in 34 severe rhesus (anti‐D) isoimmunized pregnant women. The selection of patients was based upon an evaluation of the severity of fetal erythroblastosis (past obstetric history, serological and amniotic fluid examinations). The major criterion for selection was the concentration of amniotic fluid bilirubin. The technique employed was based upon a fluoroscopic television control system. The most serious complications were blood‐stained amniotic samples in 15% of the amniocenteses and vaginal leaking of amniotic fluid and preterm labour after the performance of the intra‐uterine transfusions in 33%.