Maternal blood intrauterine transfusions in the therapy of red-cell alloimmunization performed in three difficult cases

Maternal alloimmunization can lead to hemolytic anemia, hydrops fetalis and even fetal or neonatal death. Intrauterine treatment is possible and effective even though it is associated with some risk. We present a rare method of maternal blood intrauterine transfusions in the therapy of three difficu...

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Bibliographic Details
Published in:Ginekologia polska 2014-09, Vol.85 (9), p.703-707
Main Authors: Kucińska-Chahwan, Anna, Massalska, Diana, Bijok, Julia, Rudzińska, Magdalena, Kopeć, Izabella, Rzymkiewicz, Lech, Jakiel, Grzegorz, Roszkowski, Tomasz
Format: Article
Language:eng ; pol
Subjects:
Blood & organ donations
Blood Transfusion, Intrauterine - methods
Erythroblastosis, Fetal - blood
Erythroblastosis, Fetal - therapy
Female
Humans
Pregnancy
Rh Isoimmunization - blood
Rh Isoimmunization - prevention & control
Rh Isoimmunization - therapy
Treatment Outcome
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Summary:Maternal alloimmunization can lead to hemolytic anemia, hydrops fetalis and even fetal or neonatal death. Intrauterine treatment is possible and effective even though it is associated with some risk. We present a rare method of maternal blood intrauterine transfusions in the therapy of three difficult cases of erythroblastosis fetalis. The aim of this report was to present an alternative to volunteer donors. In severe cases, i.e. in the absence of matching blood types from the donor in the presence of multiple alloantibodies in the pregnant woman or if multiple transfusions are required, this can be the only therapeutic option. To the best of our knowledge, this has been the first publication on maternal blood donation for intrauterine transfusion in the Polish literature.
ISSN:0017-0011
0017-0011
2543-6767
DOI:10.17772/gp/1796