Untimely diagnosis of fetomaternal hemorrhage: what went wrong?
| Autor: | Isabella Piva, Piergiorgio Iannone, Danila Morano, Pantaleo Greco |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Biophysical profile
medicine.medical_specialty Cardiotocography Diagnostic tools NO 03 medical and health sciences 0302 clinical medicine Fetomaternal hemorrhage Pregnancy medicine Humans 030212 general & internal medicine Intensive care medicine Perinatal Mortality cardiotocography fetomaternal hemorrhage neonatal death obstetrics Doppler stillbirth neonatal death 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Infant Newborn Obstetrics and Gynecology Ultrasonography Doppler medicine.disease Fetomaternal Transfusion Obstetric Labor Complications fetomaternal hemorrhage Pediatrics Perinatology and Child Health obstetrics Doppler stillbirth Female Neonatal death Presentation (obstetrics) business |
| Zdroj: | Journal of perinatal medicineReferences. 47(1) |
| ISSN: | 1619-3997 |
| Popis: | Fetomaternal hemorrhage (FMH) is an obstetrical challenge. It is defined as a passage of fetal blood into the maternal circulation orvice versa, which might complicate pregnancy or delivery. Most cases of acute and chronic FMH are idiopathic in origin and involve uncomplicated near-term pregnancies. Yet, due to the lack of universal screening, heterogeneous clinical presentation and insufficient clinicians awareness, in some cases FMH may present as immediate fetal compromise or even stillbirth as the most devastating consequence. We made a review of the literature of the FMH clinical cases of fetal/neonatal death in order to focus on the available diagnostic tools and their limitations. Cardiotocography, biophysical profile, middle cerebral artery peak systolic volume and current laboratory tests were studied and evaluated as diagnostic tools for FMH. International guidelines are needed to help clinicians make a prompt identification of FMH. Moreover, a standardized management protocol is essential in order to improve fetal-neonatal outcomes. |
| Databáze: | OpenAIRE |
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