Severe neonatal anemia affected by massive fetomaternal hemorrhage: a single-center retrospective observational study
| Autor: | Mizu Jiang, Gao Long, Yuting Hu, Qibo Fu, Diya Ye, Tianming Yuan, Enfu Tao |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Anemia Hemorrhage 030204 cardiovascular system & hematology Single Center 03 medical and health sciences Hemoglobins 0302 clinical medicine Fetomaternal hemorrhage Pregnancy 030225 pediatrics medicine Humans Retrospective Studies business.industry Anemia Neonatal Infant Newborn Obstetrics and Gynecology Infant Retrospective cohort study medicine.disease Fetomaternal Transfusion body regions Sinusoidal Fetal Heart Rate Pattern Pediatrics Perinatology and Child Health Female alpha-Fetoproteins business Neonatal resuscitation |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 35(20) |
| ISSN: | 1476-4954 |
| Popis: | Massive fetomaternal hemorrhage (FMH) is a rare but sometimes life-threatening event, and surviving neonates may suffer major neurological complications. Severe neonatal anemia (SNA) affected by massive FMH is less reported in the literature. This study aims to explore the clinical characteristics, laboratory diagnoses, treatments and outcomes of SNA affected by massive FMH.Data were collected retrospectively from the hospital's electronic medical record system. All neonates born in the hospital and admitted to the neonatal unit diagnosed as SNA affected by massive FMH from 1 January 2013 to 31 June 2017 were included.A total of 8 cases of SNA affected by FMH were identified among 6825 neonates admitted to the neonatal unit. They all presented with pallor but without hydrops at birth. Median gestational age and birthweight were 37This study strengthens the idea that maternal AFP testing is valuable to confirm massive fetomaternal hemorrhage. Surviving neonates of massive FMH might have a good outcome despite severe anemia at birth. |
| Databáze: | OpenAIRE |
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