FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT
<p>Background. There are several different causes for fetomaternal haemorrhage. Sinusoidal pattern, which is relatively characteristic for fetal anaemia, may in its final stages completely disappear. Differential diagnosis of silent trace of cardiotocogram with late decelerations is quite diff...
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Format: | Article |
Language: | English |
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Slovenian Medical Association
2002-07-01
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Series: | Zdravniški Vestnik |
Subjects: | |
Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/1605 |
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author | Jadranka Domazet-Fink Maja Pestevšek Živa Novak-Antolič |
author_facet | Jadranka Domazet-Fink Maja Pestevšek Živa Novak-Antolič |
author_sort | Jadranka Domazet-Fink |
collection | DOAJ |
description | <p>Background. There are several different causes for fetomaternal haemorrhage. Sinusoidal pattern, which is relatively characteristic for fetal anaemia, may in its final stages completely disappear. Differential diagnosis of silent trace of cardiotocogram with late decelerations is quite difficult to solve.</p><p>Case report. A case of unusual injury of a pregnant woman is described. The injury led to fetomaternal haemorrhage. Typical sinusoidal pattern cardiotocogram was not seen and the differential diagnosis was hard to determine. Because of prompt intervention and efficient postnatal therapy the child and mother are both well. The dilemmas in regards to differential diagnosis are being discussed.</p><p>Conclusions. It is important to be very careful in history taking even if the situation is urgent. If there is no explanation for pathological cardiotocogram, decision must be made according to pregnant woman’s wishes. Kleihauer-Betke test, which is easy to perform and gives much information, is described.<br /><br /></p> |
first_indexed | 2024-12-23T21:13:28Z |
format | Article |
id | doaj.art-f20e1c17f69f484b856a9a1118b92389 |
institution | Directory Open Access Journal |
issn | 1318-0347 1581-0224 |
language | English |
last_indexed | 2024-12-23T21:13:28Z |
publishDate | 2002-07-01 |
publisher | Slovenian Medical Association |
record_format | Article |
series | Zdravniški Vestnik |
spelling | doaj.art-f20e1c17f69f484b856a9a1118b923892022-12-21T17:30:59ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242002-07-01717/81142FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORTJadranka Domazet-Fink0Maja Pestevšek1Živa Novak-Antolič2Zdravstveni dom Moste-Polje Enota Fužine Preglov trg NN 1000 LjubljanaKlinični oddelek za perinatologijo Ginekološka klinika Klinični center Šlajmerjeva 3 1525 LjubljanaKlinični oddelek za perinatologijo Ginekološka klinika Klinični center Šlajmerjeva 3 1525 Ljubljana<p>Background. There are several different causes for fetomaternal haemorrhage. Sinusoidal pattern, which is relatively characteristic for fetal anaemia, may in its final stages completely disappear. Differential diagnosis of silent trace of cardiotocogram with late decelerations is quite difficult to solve.</p><p>Case report. A case of unusual injury of a pregnant woman is described. The injury led to fetomaternal haemorrhage. Typical sinusoidal pattern cardiotocogram was not seen and the differential diagnosis was hard to determine. Because of prompt intervention and efficient postnatal therapy the child and mother are both well. The dilemmas in regards to differential diagnosis are being discussed.</p><p>Conclusions. It is important to be very careful in history taking even if the situation is urgent. If there is no explanation for pathological cardiotocogram, decision must be made according to pregnant woman’s wishes. Kleihauer-Betke test, which is easy to perform and gives much information, is described.<br /><br /></p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1605fetal anaemiacardiotocographysinusoid patternKleihauer-Betke testsilent CTG |
spellingShingle | Jadranka Domazet-Fink Maja Pestevšek Živa Novak-Antolič FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT Zdravniški Vestnik fetal anaemia cardiotocography sinusoid pattern Kleihauer-Betke test silent CTG |
title | FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT |
title_full | FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT |
title_fullStr | FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT |
title_full_unstemmed | FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT |
title_short | FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT |
title_sort | fetomaternal haemorrhage differential diagnosis case report |
topic | fetal anaemia cardiotocography sinusoid pattern Kleihauer-Betke test silent CTG |
url | http://vestnik.szd.si/index.php/ZdravVest/article/view/1605 |
work_keys_str_mv | AT jadrankadomazetfink fetomaternalhaemorrhagedifferentialdiagnosiscasereport AT majapestevsek fetomaternalhaemorrhagedifferentialdiagnosiscasereport AT zivanovakantolic fetomaternalhaemorrhagedifferentialdiagnosiscasereport |