Intravascular exchange and bolus transfusion in the severely isoimmunized fetus.

Publication/Presentation Date

2-1-1989

Abstract

Eight Rh-sensitized fetuses, between 21 weeks 2 days and 35 weeks of gestation, received 31 intravascular transfusions (13 exchange and 18 bolus) and one intraperitoneal transfusion under ultrasonographic guidance. The interval between transfusions was 13.4 +/- 4.7 days. Posttransfusion hematocrit dropped at a rate of 1.0% +/- 0.6% per day. Procedure time for the bolus transfusion was shorter than for the exchange transfusion (t test, p less than 0.001). Bleeding from the puncture site complicated 10 of the 31 intravascular transfusions, without apparent maternal or fetal consequences. Fetuses were delivered between 33 and 36 weeks of gestation, after lung maturity was achieved.

Volume

160

Issue

2

First Page

407

Last Page

411

ISSN

0002-9378

Disciplines

Medicine and Health Sciences

PubMedID

2492764

Department(s)

Department of Obstetrics and Gynecology

Document Type

Article

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