Acute massive feto-maternal hemorrhange: a challenge to the neonatologist

Acute Feto-Maternl hemorrhage [FMH] is an unexpected medical emergency. The diagnosis should be considered in all cases of unexplained fetal deaths, fetal distress, in severe asphyxia, in non-immune hydrops fetalis, neonatal shock, severely pale baby, and in non-hemolytic anemia presenting in the newborn period. Prognosis remains poor with mortality around 50%. Anticipation, ideal aggressive management of the newborn and successful outcome in such cases remains even today a real challenge for the neonatologist