RESUMO
Two fetuses with severe anaemia due to rhesus incompatibility each received two early blood transfusions (between 23 and 25 weeks) by fetoscopy. The blood was given directly into an umbilical vessel, either at the umbilicus or at the placental cord insertion. Fetal blood samples were taken before and after transfusion to assess the haematological status of the fetus. One grossly hydropic fetus survived.
Assuntos
Transfusão de Sangue Intrauterina/métodos , Eritroblastose Fetal/terapia , Fetoscopia , Diagnóstico Pré-Natal , Adulto , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Masculino , Gravidez , Sistema do Grupo Sanguíneo Rh-HrRESUMO
A study of the birthweight of 876 babies affected by rhesus hemolytic disease has shown that this is reduced in the most severely affected cases, when intrauterine transfusion is not required. However, in 259 very severely affected babies where intrauterine transfusion was necessary, the birthweight was similar to that of the mildly affected and unaffected babies.