Diagnosis of Spontaneous Massive Fetomaternal Hemorrhage: A Case Report and Literature Review.

IF 1.2 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-05-08 DOI:10.1002/jcu.24062

Martina Derme, Adele Vasta, Valentina Tibaldi, Paola Galoppi, Valentina D'Ambrosio, Daniele Di Mascio, Ilenia Mappa, Samia Ennaciri, Manuel Esposito, Valentina Demarco, Antonella Giancotti, Giuseppe Rizzo

引用次数: 0

Abstract

Fetomaternal hemorrhage (FMH) is the passage of fetal blood through the maternal circulatory system before or during delivery. Due to the nonspecificity of clinical manifestations, FMH is rarely diagnosed. When it occurs rapidly, it could have catastrophic consequences. Decreased fetal movements and a sinusoidal cardiotocographic (CTG) for more than 30 min are characteristic findings. This paper presents a case report of a 34-year-old woman at 38 + 4 weeks with reduced fetal movements and a sinusoidal CTG. An emergency cesarean section was performed, delivering a pale newborn with a hemoglobin of 4.3 g/dL. A comprehensive review of the available literature is then reported.

查看原文本刊更多论文

自发性胎儿大出血的诊断：1例报告及文献复习。

胎母出血（FMH）是指胎儿血液在分娩前或分娩过程中通过母体循环系统。由于临床表现的非特异性，FMH很少被诊断出来。当它迅速发生时，可能会产生灾难性的后果。胎动减少和超过30分钟的正弦心动图（CTG）是特征性表现。本文报告一例34岁妇女38 + 4周胎儿运动减少和正弦CTG。进行了紧急剖宫产手术，接生了一个血红蛋白为4.3 g/dL的苍白新生儿。然后报告了对现有文献的全面审查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.