Re: Use of Saling technique

From: Barborza@aol.com
Thu Jun 8 00:43:05 2000


In a message dated 6/8/00 2:51:19 AM !!!First Boot!!!, Ealgail@aol.com writes:

> 20 y/o primip (she swears), and has never had a transfusion She is RH neg
> and was positive for Ab on screening at 8 weeks. A titer was 1:8. Four
> weeks later, now 13 weeks, the titer is 1:32, so she needs an amnio to
check >
> the delta OD450. She was sent to a perinatologist for consult, who then
> sent
> her to a University center. I know the 4 perinatologists there, and none
of >
> them do cordocentesis, so if the fetus needs transfusion, she will have to
> be
> transferred again.
> When I was in training, we talked about how rare this problem is these
days > and the skill to do intra uterine transfusions is almost lost; at that
time > only about 4 centers had anyone with the experience and skill. Can anyone
> help me? Who currently has the experience and skill, either in Chicago or
> close by, if this fetus needs transfusion?
> Thanks.

Sounds like she got sensitized from a TAB or SAB and isn't telling anyone that she was pg before, or maybe she didn't know.

I used to work with Dr. Warren Crosby at the University of OK Medical School. Back before Rhogam he was well known throughout the country for his skill at intrauterine transfusions, although I think they did them into the abdomen then, rather than by cordocentesis. He's retired now. There are perinatologists around who do cordocentesis. Perhaps the group she has seen can find someone if she ended up needing transfusion before delivery is a possibility.

Barb Orza, CNM Lawrenceville, GA





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