(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
Comprehensive gender-sensitive mental health care requires the planning, delivery, monitoring and quality improvement initiatives of mental health care to be informed by knowledge of gender differences in women and men. Gender differences have an impact on the course of women's mental illness, and further study could help provide useful information with a view to improving psychosocial care of these patients.
CONCLUSIONS OBJECTIVESWe conducted a cross-sectional analysis as part of the «Motivation and Psychosocial Treatment» study, an open longitudinal prospective and observational study, which aims to improve the psychosocial treatment in psychosis.
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