Re: US markers for fetal anemia

From: carlygottschal@yahoo.com
Wed Sep 22 14:43:57 1999


Dear Sir:

My mother had a blood transfusion shortly after birth. She was born in 1954. It is believed that Erythroblastosis Fetalis or Hydrops Fetalis was present. Are there any possible side effects that can occure later in life as a result of having these problems? Her mother had several misscarriages before having her, and she was RH-, we are going on sketchy information and are hoping this will get us an answer. Have tried searching the net but our medical knowledge is not up to translating what we have been able to find.

Thank you for any help we can get.

Carly Gottschalk Kathy Walther

At Wed, 27 Jan 1999, James S Smeltzer MD wrote: >
>Hi,
>
>Cordocentesis is not difficult. My first, in a hydropic fetus that would
>otherwise die, was successful on the fourth attempt and I was the third
>physician to try. Since then they have become much easier. However it
>does carry a small but definite risk for loss of about 1% or so. One of my
>former fellows lost a baby who kicked the needle during transfusion and
>bled out (Bottom line - paralyze the baby as soon as you get in for a
>transfusion, be ready to go, draw your initial, do the transfusion, draw
>the final & get out).
>
>The vena cava findings of pulsatility and reversed flow with atrial kick
>may precede hydrops and I would act on this - especially if the change
>extended into the UV.
>
>Jim S
>
>At 07:22 PM 1/25/1999 -0600, you wrote:
>>Thanks for the opinion about US markers of fetal anemia.
>>Another question:
>>1. doppler of Vena cava inf. is a marker of fetal acidemia (Rizzo and
>>others...). Isn't it earlier than Hydrops?
>>2. how dificult is to perform a cordonocentesis?
>>




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