Fetal hemorrhage associated with amniocentesis

Severe neonatal anemia possibly caused by spontaneous cephalic version, with excellent outcome — a case report

“…COHEN [1] and LUBIN [5] have suggested that such hemorrhages are a normal finding due to the trauma of labour. Several authors have stressed that their incidence is increased by external cephalic version [2,6,8,13], traumatic amniocentesis [9,16] and cesarian section [11]. As illustrated by the present case, spontaneous cephalic version may possibly account for another cause of feto-maternal transfusion resulting in severe neonatal anemia.…”

“…On the second day the baby developed an acute functional renal failure which responded well to fluid restriction and furosemide administration. Upon discharge, 10 days after birth, the physical examination and laboratory values of the infant were almost normal: hemoglobin 10.8 g/dl, hematocrit 32%, platelets 273 χ 10 9 /1, nucleated cells 5.2xl0 9 /l with 8% erythroblasts. During and after his hospitalisation the neonate recieved iron supplements and Vitamine C orally.…”