(CTG) patterns are characteristic to fetal anemia (FA) [1-3]. One of the rare, but potentially life-threatening causes of FA is feto-maternal hemorrhage (FMH) [1-3]. We present a case of FMH whose FA was first suspected through inspection of the mother's CTG. This early suspicion prompted immediate, potentially lifesaving interventions. A previously healthy, 33 wk gravida, with an uneventful pregnancy to date, was admitted to our hospital complaining of reduced fetal movements (RFM) in the previous 5 d. Close inspection of the CTG by the attending neonatologist revealed a sinusoidal pattern and FA was suspected. Transition to extrauterine life was planned accordingly, O Rh-ve blood was urgently requested, and an emergency C-section was performed. An extremely pale [2.6 g/dl hemoglobin concentration (HC)], hypotonic, bradycardic, 2400 g girl was delivered. No spontaneous respiratory movements were detectable. After intubation, one bolus of saline solution and 50 ml of O Rh-ve blood were infused. At 1.5 h of life, HC was 11.8 g/dl and vital signs were stable under mechanical ventilation. Early transfontanellar ultrasonography revealed diffuse brain edema. She was extubated on day 3 and, after a second blood transfusion, HC increased to 17.0 g/dl. Since the blood types of both infant and mother were A Rh + ve and maternal Parvovirus serologies were negative, a