1986
DOI: 10.1515/jpme.1986.14.1.51
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Ultrasound contributions to the management of the severely isoimmunized fetus

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Cited by 10 publications
(5 citation statements)
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“…showed that fetal aorta, ductus venosus and umbilical venous flow velocities are predictive for foetal anaemia and therefore very useful in determining the moment intrauterine therapy should be started [36], In foetuses known to be affected with haemolytic disease, a decelerative and or sinusoidal antenatal C.T.G. tracing, is associated with extreme anaemia or hydrops foetalis [48,59,60].…”
Section: Diagnosismentioning
confidence: 99%
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“…showed that fetal aorta, ductus venosus and umbilical venous flow velocities are predictive for foetal anaemia and therefore very useful in determining the moment intrauterine therapy should be started [36], In foetuses known to be affected with haemolytic disease, a decelerative and or sinusoidal antenatal C.T.G. tracing, is associated with extreme anaemia or hydrops foetalis [48,59,60].…”
Section: Diagnosismentioning
confidence: 99%
“…Refinements in technique and especially the use of modern ultrasound equipment have facilitated the procedure and improved the results [44,45,46,47,48].In its original design intrauterine transfusion was based on the fact that red cells can be absorbed from the fetal peritoneal cavity and enter the fetal circulation [49,50]. By infusing Rhesus (D) negative packed cells into the foetal abdomen, foetal anaemia can be corrected and delivery may be postponed to a more advanced stage in pregnancy.…”
Section: Therapymentioning
confidence: 99%
“…Biliru bin values in the upper middle zone are a reason for concern. Regular ultrasound scanning and nonstress tests are recommended to determine the optimal mo ment of intervention [47,48], Values in the upper zone predict a severely affected fetus. Between 20 and 32 weeks intrauterine transfusion is the method of choice.…”
Section: Amniocentesis and Analysis Of Amniotic Fluidmentioning
confidence: 99%
“…Size of the fetal liver and related edema, thickness and structure, ascites and pericardial effusion are accurate signs of impending fetal demise [47,[55][56][57]. Preliminary reports on the measurement of fetal blood flow show promising results as to the prediction of severe fetal anemia [58], Since changes may develop very rapidly, ultrasound scanning should be performed every 2 days if severe fetal hemolysis is suspected.…”
Section: Ultrasoundmentioning
confidence: 99%
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