Maternal-fetal hemorrhage: a reappraisal.

Abstract:

PURPOSE:To determine the frequency of maternal-fetal hemorrhage at or above 1 microliter of maternal whole blood. METHODS:Seventy-three mothers whose red blood cells bore an Rh antigen (Rh D, Rh c, Rh E) that was absent on red blood cells of their newborns were identified and a new cytological method, the Kleihauerimmunogold-silver-staining technique, was applied on the blood of their neonates to detect and quantify maternal red blood cells. Stringent precautions were taken to avoid contaminations of neonatal blood samples by adult red blood cells. RESULTS:Maternal red blood cells were present in 3 newborns, a frequency of 4% (95% Cl: 1-11%), and the estimated volumes of hemorrhage were 0.8, 1.5, and 101 microliters of maternal whole blood. No obstetric factor was clearly associated in this limited study with the occurrence of maternal-fetal hemorrhage. CONCLUSIONS:Mother-to-fetus microtransfusion greater than 1 microliter is infrequent at or near delivery, and it may be observed after an uncomplicated pregnancy and vaginal delivery.

journal_name

Vox Sang

journal_title

Vox sanguinis

authors

Brossard Y,Pons JC,Jrad I,van Nifterik J,Gillot R,Saure C,Le Gaudion M,Richard A,Papiernik E

doi

10.1046/j.1423-0410.1996.7120103.x

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

103-7

issue

2

eissn

0042-9007

issn

1423-0410

journal_volume

71

pub_type

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