TITLE:
Fetal Anemia Caused by Prenatal Gastrointestinal Bleeding: A Case Report
AUTHORS:
Kensuke Matsumoto, Masayuki Yamaguchi, Taro Nonaka, Takayuki Enomoto, Kouichi Takakuwa
KEYWORDS:
Fetal Anemia, MCA-PSV Is High, Prenatal Gastrointestinal Bleeding, Amniotic Fluid Brightness
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.6 No.7,
May
27,
2016
ABSTRACT: A 39-year-old 34-week-pregnant woman was referred to our hospital for
preterm labor and fetal dysfunction. Fetal middle cerebral artery systolic
maximum blood flow velocity was high, so fetal anemia was suspected. Blood type
was O-type Rh (+) and fetal hemoglobin was 0.4%; tests for irregular antibody
and human parvovirus B19 IgM were negative. A high brightness echoic mass was
observed in fetal stomach bubble, and amniotic fluid appeared bright. Labor
suppression was disabled, and emergency cesarean section was performed. Amniotic
fluid turbidity was observed, and on suctioning the stomach content of the
infant, turbid amniotic fluid containing blood was obtained. On placental pathological
examination, the cause of bloody amniotic fluid was not identified. The
infant’s hemoglobin level was low at 8.7 g/dL, so the infant received red cell
concentrate, with improvement of general condition.