Massive Fetomaternal Hemorrhage

Leyla F. Akanli; Nicole E. Cohen-Addad; Nerissa V. Malabanan; Franz Margono; Meg A. Krilov

doi:10.1055/s-2007-994142

American Journal of Perinatology, Table of Contents

Am J Perinatol 1997; 14(5): 271-273
DOI: 10.1055/s-2007-994142

ORIGINAL ARTICLE

Massive Fetomaternal Hemorrhage

Leyla F. Akanli¹ , Nicole E. Cohen-Addad¹ , Nerissa V. Malabanan¹ , Franz Margono² , Meg A. Krilov³

¹Pediatrics, New York Medical College, Valhalla, New York
²Obstetrics and Gynecology, New York Medical College, Valhalla, New York
³Physical Medicine and Rehabilitation, New York Medical College, Valhalla, New York

Abstract

ABSTRACT

This report describes a full-term newborn with massive fetomaternal hemorrhage. Fetal movements were decreased 48 hr prior to delivery. On the day of delivery, they were absent. The nonstress test was abnormal with low biophysical profile and decreased beat-to-beat variability. The infant presented with extreme pallor, hy-potonia, hepatosplenomegaly, and ascites. The initial hemoglobin was 2.2 g/dL, the Kleihauer-Betke stain was 27.6% (highest level ever reported). Right temporal and cerebellar hemorrhages were present. Sequelae include severe developmental delay and asymmetric double hemiplegia.

Keywords

Fetomaternal - hemorrhage, Kleihauer-Betke

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