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J Matern Fetal Neonatal Med. 2003 Feb;13(2):128-32.

Large fetomaternal hemorrhage: clinical presentation and outcome.

Author information

  • Grantley Stable Neonatal Unit, Royal Women's Hospital, Herston, Australia.

Abstract

AIM:

To evaluate the incidence and outcome of all neonates with demonstrated fetomaternal hemorrhages > or = 20 ml and to assess possible predictors of large fetomaternal hemorrhage and outcome.

METHODS:

Retrospective data analysis 1987-2000. Clinical data included antenatal events, method of delivery, condition at birth, hematology results, treatment and outcome.

RESULTS:

Sixteen infants were identified and treated for fetomaternal hemorrhage. Adverse outcome occurred in five infants (31%). Outcome was predicted by postnatal presentation and initial hemoglobin.

CONCLUSION:

Adverse outcome amongst neonates with large fetomaternal hemorrhage is high. Outcome is better predicted by initial hemoglobin than volume of hemorrhage as per the Kleihauer test.

PMID:
12735414
[PubMed - indexed for MEDLINE]
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