Abstract:
:This study evaluated fetomaternal hemorrhage (FMH) in 343 postpartum patients who required prophylaxis of Rh alloimmunization with anti-D immunoglobulin. The rosette test was applied to screen for patients needing quantitative determination of fetal blood transferred from the maternal circulation, which was then measured by the Kleihauer-Betke test (K-B). The rosette test was positive in 22 cases (6.4%). In five of these cases, K-B did not show fetomaternal hemorrhage (a 1.45% false-positive rate for the rosette test), and in one case the test was inconclusive. There were 8 cases with FMH < 10 ml (2.3%), 6 cases with FMH from 10 to 30 ml (1.7%), and two cases with FMH > 30 ml (0.58%), requiring a supplementary dose of anti-D. The study concludes that following the rosette test, additional evaluation of FMH using a quantitative test was unnecessary in 93.6% of the cases.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Baiochi E,Camano L,Bordin JOdoi
10.1590/s0102-311x2005000500007keywords:
subject
Has Abstractpub_date
2005-09-01 00:00:00pages
1357-65issue
5eissn
0102-311Xissn
1678-4464pii
S0102-311X2005000500007journal_volume
21pub_type
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