- 作者：Francisca Sonia Molina Garcí ; a ; fsoniamolina@gmail.com ; Rodrigo Terra Valdé ; s ; Marí ; a Paz Carrillo Badillo ; Aranzazu Garrote Ferná ; ndez de Santos ; Salvador Oyonarte Gó ; mez
- 关键词：Anemia fetal ; Transfusió ; n intrauterina ; Doppler ; Arteria cerebral media
- 刊名：Progresos de Obstetricia y Ginecolog铆a
- 出版年：2010
- 期刊代码：pca294_03045013
- 类别：med
- 出版时间：September 2010
- 卷：53
- 期：9
- 页码：335-340
- 文件大小：190 K
Objetive
Evaluate the intrauterine blood transfusions performed in fetuses with anemia due to red blood cell alloimmunization in our unit and the detection rate of the middle cerebral artery Doppler to predict anemia after the first transfusion.
Material and methods
We performed 53 intrauterine blood transfusions in 15 patients with red blood cell alloimmunization. We analyze the characteristics of the cases and the value of the middle cerebral artery Doppler to predict fetal anemia.
Results
The detection rate of fetal anemia with the peak systolic velocity Doppler in the middle cerebral artery was 85%after the first transfusion and 72%after the second or more. There were no false positive results of the test in our series.
Conclusions
Doppler evaluation of the middle cerebral artery as predictor of fetal anemia has a lower detection rate after consecutive transfusions.