Perinatal outcome following intravascular transfusion in severely isoimmunized fetuses

J. A. Ney*, Michael L Socol, Sharon L Dooley, S. N. MacGregor, R. K. Silver, D. D. Millard

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Twenty-six severely isoimmunized pregnancies managed exclusively with ultrasonographically guided intravascular fetal transfusions are reported. The mean gestational age plus and minus one standard deviationy (±SD) was 26.3 ± 3.6 weeks and the mean hematocrit (±SD) prior to initial transfusion was 20.6 ± 6.7%. Four of seven hydropic fetuses and 9 of 19 without hydrops were ≤ 26 weeks gestation at the first transfusion. Overall survival was 85% ( 22 26). Survival was similar whether or not fetal hydrops was present ( 6 7 vs. 16 19) and whether or not the first transfusion was administered at ≤26 weeks gestation ( 10 13 vs. 12 13).

Original languageEnglish (US)
Pages (from-to)41-46
Number of pages6
JournalInternational Journal of Gynecology and Obstetrics
Volume35
Issue number1
DOIs
StatePublished - Jan 1 1991

Keywords

  • Fetal transfusion
  • Hydrops
  • Isoimmunization

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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