Re: Rh immunization in the first pregnancy

From: DoctorJoe@aol.com
Fri Mar 24 06:03:30 2000


In a message dated 3/24/00 12:45:52 AM, ginekologia@kolbuszowa.biz.pl writes:

>I vave had a patients conceived after two years of sterility without any
>history of gyn/pb interventions before. In the first and second
>trimester indirect Coombs testes were negative. In the 30 weeks of
>pregancy- until now uneventull- she fell weak fetal movements and in the
>same days usg revealed: ydrops fetus universalis, atrial flutter and
>preagonal CTG. She was delivered by cs and ferus died after 6 hours
>with signs of RDS. The structures on autopsy were normal. In 30 years
>of practice I hava had never seen hydrops fetus in the first opregnancy-
>what should I do next time and in the next pregnancy?

Any serology for Fifth Disease? Any blood work on the baby? Hemoglobin electrophoresis, etc?

Joe P.





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