FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT

  • Jadranka Domazet-Fink Zdravstveni dom Moste-Polje Enota Fužine Preglov trg NN 1000 Ljubljana
  • Maja Pestevšek Klinični oddelek za perinatologijo Ginekološka klinika Klinični center Šlajmerjeva 3 1525 Ljubljana
  • Živa Novak-Antolič Klinični oddelek za perinatologijo Ginekološka klinika Klinični center Šlajmerjeva 3 1525 Ljubljana
Keywords: fetal anaemia, cardiotocography, sinusoid pattern, Kleihauer-Betke test, silent CTG

Abstract

Background. There are several different causes for fetomaternal haemorrhage. Sinusoidal pattern, which is relatively characteristic for fetal anaemia, may in its final stages completely disappear. Differential diagnosis of silent trace of cardiotocogram with late decelerations is quite difficult to solve.

Case report. A case of unusual injury of a pregnant woman is described. The injury led to fetomaternal haemorrhage. Typical sinusoidal pattern cardiotocogram was not seen and the differential diagnosis was hard to determine. Because of prompt intervention and efficient postnatal therapy the child and mother are both well. The dilemmas in regards to differential diagnosis are being discussed.

Conclusions. It is important to be very careful in history taking even if the situation is urgent. If there is no explanation for pathological cardiotocogram, decision must be made according to pregnant woman’s wishes. Kleihauer-Betke test, which is easy to perform and gives much information, is described.

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How to Cite
1.
Domazet-Fink J, Pestevšek M, Novak-Antolič Živa. FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT. ZdravVestn [Internet]. 1 [cited 15Nov.2019];71(7/8). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/1605
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Professional Article

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