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

© 1997 by Thieme Medical Publishers, Inc.

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
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Publication History

Publication Date:
04 March 2008 (online)

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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