Massive fetomaternal hemorrhage: a case series and review of literature

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY

Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI:10.1515/crpm-2021-0079

Carolina Smet, L. Queiró, Edmundo Santos, A. Reis, C. Costa

引用次数: 0

Abstract

Abstract Objectives Massive fetomaternal hemorrhage (FMH) is a rare and difficult to diagnose event that can have catastrophic outcomes. Although many etiologies have been associated with FMH, the majority of cases are idiopathic and affect uncomplicated pregnancies. The prevailing symptom is decreased fetal movements but some cases are asymptomatic. Changes in the fetal Doppler ultrasound, a sinusoidal cardiotocographic pattern, neonatal anemia, unexplained hydrops or stillbirth can raise suspicion that such an event has occurred. Case presentation This article presents a case series of severe FMH diagnosed in our center between 2011 and 2020 as well as a review of the current available literature. Conclusions We highlight the importance of the clinician’s awareness on detecting this rare but potentially life-threatening event.

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大量胎儿出血:一个病例系列和文献回顾

摘要目的大出血(FMH)是一种罕见且难以诊断的事件，可导致灾难性的后果。虽然许多病因与FMH有关，但大多数病例是特发性的，影响无并发症的妊娠。主要症状是胎动减少，但有些病例无症状。胎儿多普勒超声、窦状心动图、新生儿贫血、不明原因的积液或死胎的变化可引起对此类事件发生的怀疑。本文介绍了本中心在2011年至2020年间诊断出的一系列严重FMH病例，并对现有文献进行了回顾。结论:我们强调临床医生对发现这种罕见但可能危及生命的事件的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-

自引率

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发文量

期刊介绍： Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.