Changes in the management of severely Rh-immunized patients
| Autor: | James R. Scott, Neil K. Kochenour, Mary J. Scott, Ronald M. Larkin |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Adult
medicine.medical_specialty Amniotic fluid Blood Transfusion Intrauterine Fetal Distress Erythroblastosis Fetal Pregnancy Humans Medicine Intrauterine transfusion Fetal Death Rh-Hr Blood-Group System business.industry Obstetrics Fetal transfusion Ultrasound Infant Newborn Obstetrics and Gynecology Infant Low Birth Weight Surgery Parity Regimen Perinatal survival Amniocentesis Gestation Female business Rh blood group system |
| Zdroj: | American Journal of Obstetrics and Gynecology. 149:336-341 |
| ISSN: | 0002-9378 |
| Popis: | Since July 1, 1978, we have instituted the following changes in the management of severely Rh-immunized patients: (1) serial amniotic fluid optical density (delta OD450 ) values and real-time ultrasound scanning beginning at 21 weeks' gestation, (2) fetal transfusions as early as the twenty-third week, (3) ultrasound surveillance during and after intrauterine transfusions, and (4) planned premature delivery with neonatal exchange transfusions for selected cases between 29 to 32 weeks and for all patients after 32 weeks' gestation. The perinatal survival rate (83.8%) in 37 isoimmunized pregnancies managed with this regimen was significantly higher (p less than 0.05) than in 34 such pregnancies (55.9%) managed according to the protocol utilized during the previous four years. |
| Databáze: | OpenAIRE |
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