ABSTRACT
Se presenta un caso de perfusión arterial retrógrada entre gemelos (secuencia TRAP), caracterizado por la coexistencia de un feto normal (donante) y un feto acardio (receptor).El diagnóstico precoz: (11.ª semana) permitió controlar, según progresaba la gestación el estado hemodinámico del feto donante, identificar los signos sugerentes de insuficiencia cardíaca y realizar la oclusión por láser vía fetoscopia del cordón umbilical del feto acardio (18.ª semana). A la 21ª. semana se produce la muerte del feto donante. El caso ilustra la importancia del diagnóstico precoz y del control hemodinámico mediante flujometría doppler para identificar la descompensación cardíaca del feto sano y realizar su tratamiento. (AU)
Subject(s)
Pregnancy , Female , Humans , Heart Defects, Congenital , Fetofetal Transfusion/physiopathology , Laser-Doppler Flowmetry , Heart Failure , HemodynamicsABSTRACT
Authors have studied in four groups of newborns the possible relationship between administration of oxitocyn to the mother during labor or during the pregnancy and appearance of neonatal jaundice, alterations of hematocrit and Na+ levels in the immediate hours post-partum. In the present study, with dosages of oxitocyn administered during true labor which never exceded 1,200 mUI, no significant differences appeared between levels of bilirubin present in newborns and those whose mothers did not receive this type of treatment (p greater than 0.05). Sodium levels in the first day of life did show significant difference when comparing control and problem series respectively (p less than 0.01).
