Open AccessIntrauterine intravascular transfusions in fetal erythroblastosis: The influence of net transfusion volume on fetal survival
Author(s) -
Selbing Anders,
Stangenberg Magnus,
Westgren Magnus,
Rahman Feryal
Publication year - 1993
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 - 10.3109/00016349309013343
Subject(s) - medicine , fetus , blood volume , fetal weight , intravascular volume status , obstetrics , blood transfusion , volume (thermodynamics) , pregnancy , cardiology , surgery , hemodynamics , genetics , physics , quantum mechanics , biology
The intravascular volume load that an anemic fetus can tolerate was studied retrospectively in 124 consecutive intravascular transfusions in 35 erythroblastotic fetuses. The tolerated volume load correlated well to the estimated fetal weight. Transfusion volume loads above 20 ml/kg of the estimated fetal weight resulted in a lower fetal survival. We recommend an upper transfusion limit at 20 ml/kg corresponding to approximately 20% of the feto‐placental blood volume.