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

Large fetomaternal hemorrhage: clinical presentation and outcome.

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  • 1Grantley Stable Neonatal Unit, Royal Women's Hospital, Herston, Australia.



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.


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


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.


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.

[PubMed - indexed for MEDLINE]
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