IMR Press / CEOG / Volume 43 / Issue 2 / DOI: 10.12891/ceog2097.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Idiopathic massive fetomaternal hemorrhage in the third trimester of pregnancy causing neonatal death
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1 Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu (China)
Clin. Exp. Obstet. Gynecol. 2016, 43(2), 284–286; https://doi.org/10.12891/ceog2097.2016
Published: 10 April 2016
Abstract

Fetomaternal hemorrhage (FMH), which can occur throughout pregnancy, is still a poorly understood clinical condition. It is very difficult to be timely diagnosed and often results in poor pregnancy outcomes. Here the authors reported two rare cases of silent massive FMH of unknown cause in the third trimester of pregnancy, which presented with non-reactive fetal heart rhythm or decreased fetal movement at the very beginning, and resulted in severe fetal anemia and neonatal deaths. A pregnant woman at late pregnancy with a complain of unspecific signs such as decreased fetal movement should arouse a high index of clinical suspicion of idiopathic FMH, and an urgent ultrasound or lab tests detecting FMH could be suggested. Considering emergent delivery versus expectantly management will depend upon acute or chronic FMH, gestational age, results of fetal testing, availability of experienced personnel, and procedural difficulty.
Keywords
Fetomaternal hemorrhage
Fetal movement
Fetal anemia
Neonatal death
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