Open AccessIntra‐Uterine Transfusions to the Rhesus‐Immunized Fetus in the Department of Obstetrics, National Hospital, Oslo 1968‐1979
Author(s) -
Skjaeraasen Julie,
Moe Narve
Publication year - 1983
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 - 10.3109/00016348309156237
Subject(s) - medicine , amniotic fluid , obstetrics , in utero , fetus , gestational age , cord blood , obstetrics and gynaecology , gynecology , pregnancy , hemolysis , university hospital , blood transfusion , surgery , biology , genetics
. During the years 1968‐79, 115 intra‐uterine transfusions (IUT) were performed in 71 severely Rhimmunized pregnant women at 26‐32 weeks' gestational age. Thirty‐five (approx. 50%) infants survived; 28 died in utero and 9 in the neonatal period. The selection of patients and technique is described. The amount of transfused blood in cord blood at birth is presented for the majority of liveborn infants. The study emphasizes that the outcome of IUT is entirely dependent on the degree of hemolysis at the time of the initial IUT. Among 30 patients with an amniotic fluid optical density difference at 450 mμ <0.3, a survival rate of 83% was registered compared with 36% and 0% in groups with values 0.3‐0.6 and >0.6, respectively