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 - 10.3109/00016347609156442
Subject(s) - medicine , obstetrics , rh isoimmunization , gestational age , fetus , blood transfusion , uterine rupture , pregnancy , gynecology , uterus , surgery , biology , genetics
. The results of 51 intra‐uterine transfusions in 34 pregnant women with severe rhesus isoimmunization are presented. The survival rate is 56%. Factors influencing the fetal and neonatal mortality are considered, e.g. the gestational age at the initial intra‐uterine transfusion, the presence of fetal hydrops, and the interval from the initial intra‐uterine transfusion to delivery. The difficulties of the selection procedure are emphasized and it is stated that in some cases intra‐uterine transfusion should perhaps not be performed because of a predictable poor fetal prognosis. The significance of accumulating experience is discussed.